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POLICY NUMBER: 711-01-13-30-0003 <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) or Organization(s): <br />THE CITY OF SANTA ANA <br />20 CIVIC CENTER PLZ ## M-30, P 0 BOX 1988 <br />SANTA ANA, CA 92701-4058 <br />Location And Description of Completed Operations <br />Location Building <br />1 1 * THIER RESPECTIVE OFFICERS, EMPLOYEES, <br />AGENTS, VOLUNTEERS AND REPRESECTATIVES <br />I Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />Section II — Who Is An Insured is amended to include <br />as an additional insured the person(s) or organiza- <br />tions) shown in the Schedule, but only with respect to <br />liability for 'bodily injury" or "property damage" <br />caused, in whole or in part, by "your work" at the lo- <br />cation designated and described in the schedule of <br />this endorsement performed for that additional in- <br />sured and included in the "products -completed op- <br />erations hazard". <br />CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 <br />E-INSURED <br />