Laserfiche WebLink
POLICY NUMBER: CPV0015640 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 10 11 85 <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 />60 Civic Center Plaza., RM 97 <br />Santa Ana, CA <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations <br />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 the <br />Schedule, but only with respect to liability arising out of "your work' for that insured by or for you. <br />PRIMARY INSURANCE: Such insurance as is afforded by the General Liability policy is primary insurance and no <br />other insurance of the additional insured shall be called upon to contribute to a loss <br />I l �z4 A 7 <br />�✓ APPROVED <br />pa�xZ <br />CG 2010 1195 Copyright, Insurance Services Office, Inc. , 1984 Page 1 of 1 11 <br />