Laserfiche WebLink
<br />.. <br /> <br />8 <br /> <br />8 <br /> <br />POLICY NUMBER: PPPI000316-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 />" :"I';:¿ (')',! ¡-' ¡') /\S TO FORM <br />/>~j.-.. -.k'l.,..~ JL~--, <br /> <br />.._~, . . -------..-...-..--.--'-.'---". <br />"".'" .:: :!'--,'.' >- <br /> <br />" ,,,.:.. ( ,t"\ ioriì<òY <br />"'-,\"..'-' '.' -- .. , <br /> <br />CG2010 10 93 <br /> <br />Copyright, Insurance Services Office, Inc, 1996 <br /> <br />Page 1 of 1 <br /> <br />