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POLICY NUMBER: P630 S 00D409203 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 OF Organizatien: <br />City of Santa Ana <br />Public Works Agency,Att: Zed Kekula <br />20 Civic Center Plaza <br />Mail Station 43 <br />Santa Ana, CA 92701 <br /> <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 /> <br /> WHOIS AN~NSURED(Secti~n~~)isamendedt~inciudeasaninsuredthepers~n~r~rganizati~nsh~wninthe <br /> Schedu~e~but~n~ywithrespectt~iabi~ityarising~ut~f"y~urw~rk"~rthatinsuredby~r~ry~u. <br /> <br />Additional Insured Continued: And its officers and employees <br /> <br /> PRIMARY INSUP~ANCE: <br /> IT IS IINDERSTOOD AND AGREED THAT THIS INSURANCE IS PRIMARY <br /> AND ANY OTHER %NSUPJtNCE MAINTAINED BY THE ADDITIONAL INSURED <br /> SHALL BE EXCESS ONLY AND NOT CONTRIBUTING WITH THIS <br /> INSUPJ~NCE. <br /> <br />CG 2O 10 11 85 <br /> <br /> <br />