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02/22/N11 11:20 7142458185 SANTA ANA PD PAGE 06108 <br />i <br />PC LICY NUMBER: 51 GL000501 -101 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 37 07 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNER'S, LESSEES OR <br />CONTRACTORS -- COMPLETED OPERATIONS <br />Th�s endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />i <br />e <br />Sean It — Who Is An Insured Is amended to <br />incil de as an additional insured the .person(s) or <br />org AlZation(s), tho.wn in the Schedule, but only with <br />res ect to Mobility for "bodily injury" or "property <br />da -age" caused, Ih whole or in part, by 'your Worle <br />at a location designated and described in the <br />sch -ule of this endorsement performed for that <br />ad Itional insured and Included in the "products. <br />co plated operations: hazard ". <br />I <br />CG: fO 347 07 04 <br />0 180 Properties, Inc., 2004 <br />Page 1 of 1 <br />Name Of Additional Insured Person{$) <br />i Or organization[!): <br />Locatlon.:And VW-"rl ti1ant Of Com laced 0 rations. <br />Re: Civic Center Plaza. <br />lt� of Santa Ana Polite Department <br />i <br />of rmation required to complete this Schedule, if not shdwn <br />above, will be shown In the Declarations, <br />i <br />e <br />Sean It — Who Is An Insured Is amended to <br />incil de as an additional insured the .person(s) or <br />org AlZation(s), tho.wn in the Schedule, but only with <br />res ect to Mobility for "bodily injury" or "property <br />da -age" caused, Ih whole or in part, by 'your Worle <br />at a location designated and described in the <br />sch -ule of this endorsement performed for that <br />ad Itional insured and Included in the "products. <br />co plated operations: hazard ". <br />I <br />CG: fO 347 07 04 <br />0 180 Properties, Inc., 2004 <br />Page 1 of 1 <br />