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POLICY NUMBER: Golden Bell Products, Inc. COMMERCIAL GENERAL LIABILITY <br />1DIPG057729 CG 20 10 10 93 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS (FORM B) <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name of Person or Organization: <br />City of Santa Ana <br />Its officers, employees, agents, and representatives <br />20 Civic Center Plaza, Room 429 <br />Santa Ana, CA 92702 <br />(If no entry appears above, information required to complete this endorsement will be shown in the <br />Declarations as applicable to this endorsement.) <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in <br />the Schedule, but only with respect to liability arising out of your ongoing operations pertormed for that <br />insured. <br />It is agreed such insurance as is afforded by this policy for the benefit of the additional <br />insureds) shown in the endorsement, shall be primary insurance. Any other insurance <br />maintained by the additional insureds) shall be excess and non - contributory not only as <br />respect to any claim, loss or liability arising out of the operations of the named insured, <br />and only if such a claim, loss or liability is determined to be solely the negligence or <br />responsibility of the named insured. <br />CG 20 10 10 93 Copyright, Insurance Services OfFce, Inc., 1992 p <br />