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POLICY NUMBER:scsoo22924 COMMERCIAL GENERAL LIABILITY <br />CG 20 37 07 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED -OWNERS, LESSEES OR <br />CONTRACTORS -COMPLETED OPERATIONS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) <br />Or Or anization s <br />Location And Descri tion Of Com leted O erations <br />City o£ Santa Ana <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />Information re wired to com lete this Schedule, if not shown above, will be shown in the Declarations. <br />Section II -Who Is An Insured is amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only with <br />respect to liability for "bodily injury" or "property dam- <br />age" caused, in whole or in part, by "your work" at <br />the location designated and described in the sched- <br />ule of this endorsement pertormed for that additional <br />insured and included in the "products-completed <br />operations hazard". <br />APPROiT€H X19 TO FORM <br />C?%'? <br />LISA E. STORCK <br />Assistant City Attorney <br />CG 20 37 07 04 ©ISO Properties, Inc., 2004 <?? Page 1 of 1