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POLICY NUMBER: GEC000175f MMERCIAL GENERAL LIABILITY <br /> CG 20 10 03 97 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - OWNERS, LESSEES OR <br /> CONTRACTORS - SCHEDULED PERSON OR <br /> ORGANIZATION <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, its officers, employees, agents and <br /> representatives <br /> 20 Civic Center Place M29 <br /> Santa Ana, CA. 92701 <br /> (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as <br /> applicable to this endorsement.) <br /> Who Is An Insured (Section II) is amended to include as an insured the person or organization shown in the Schedule, <br /> but only with respect to liability arising out of your ongoing operations performed for that insured. <br /> p,PPROVED As O ORM <br /> ---- LISA E. STORCK <br /> Aysista tU..Y A rneY <br /> Hart Forms&Services <br /> CG 20 10 03 97 Copyright, Insurance Services Office, Inc., 1996 Reorder No.14.E032 <br />