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POLICY NUMBER: HDO G21693054 COMMERCIAL GENERAL LIABILITY <br /> By: ACE American Insurance Company <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 /> Named Insured: <br /> Waste Management of Orange County <br /> 1800 S. Grand Avenue <br /> Santa Ana, CA 92705 <br /> Name of Person or Organization: <br /> City of Santa Ana, its officers, employees, agents and volunteers <br /> (If no entry appears above, information required to complete this endorsement would 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 work"for that insured by or for you. " <br /> Such insurance as is afforded by this policy for the additional insured shown in the Schedule of this <br /> endorsement shall apply as primary insurance and we will not seek contribution from any other insurance of <br /> self-insurance maintained by such additional insured. <br /> *where and to the extent required by written contract. <br /> AUTHORIZED REPRESENTATIVE: <br /> APA RO V Et AS 1..4 y. VJ 4N1vJ: <br /> MI <br /> 'E; Sheerly <br /> CG 20 10 11 85 Copyright, Insurance Services Office, Inc., 1984 <br />