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<br />-, .. ... <br /> <br />8 <br /> <br />8 <br /> <br />POLICY NUMBER: PPPIOOO316-C <br /> <br />COMMERCIAL GENERAL LIABILITY <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br /> <br />ADDITIONAL INSURED-OWNERS, LESSEES OR <br />CONTRACTORS (FORM B) <br /> <br />THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br /> <br />SCHEDULE <br /> <br />NAME OF PERSON OR ORGANIZATION: <br /> <br />The City of Santa Ana, its officers, agents, employees and volunteers <br />20 Civic Center Plaza <br />Santa Ana, CA. 92701 <br /> <br />(If no entry appears above, information required to complete this endorsement will be shown in <br />the declarations as applicable to this endorsement.) <br /> <br />Who is an insured (Section II) is amended to include as an insured the person(s) or <br />organization(s) shown in the schedule, but only with respect to liability arising out of your <br />ongoing operations for that insured by or for you. <br /> <br />/\?PROV <br /> <br />N-., TO FORNI <br /> <br />~-- <----....----".---..-..--"-'" <br />, , . :,' '-: : '¡,' .~'\ .\' <br />'" -,,"');~', {'¡tv A tOíiìC-V <br />",--, \.'- \ "'.' . , <br /> <br />CG2010 1093 <br /> <br />Copyright, Insurance Services Office, Inc. 1996 <br /> <br />Page I of I <br /> <br />