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POLICY NUMBER: ZB3-0302621-02 <br />COMMERCIAL GENERAL LIABILITY <br />ISSUEDATE: g -5-19 <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, Risk Management, its officers, employees, agents and representatives <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />Location And Description Of Completed Operations <br />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 in- <br />clude as an additional insured the person(s) or or- <br />ganization(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 the <br />location designated and described in the schedule of <br />this endorsement performed for that additional in- <br />sured and included in the "products -completed opera- <br />tions hazard". <br />REVIEWED & APPROVED <br />By RISK MANAGEMENT DIVISION <br />CG 20 37 07 04 © ISO Properties, In .. ' (STEP 23 2019 Page 1 of 1 <br />FRANCINE R.VILLAREAL <br />