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<br />POLICY No: <br />Effective Date: <br /> <br />. <br />72CESvA1988 <br />04/01/03 <br /> <br />. <br />Comme...al General Liability <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br /> <br />ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B) <br /> <br />This endorsement modifies insurance provided under the following: <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br /> <br />Name of Person or Organization: <br /> <br />CITY OF SANTA ANA, ITS OFFICERS, AGENTS, <br />REPRESENTATIVES; P.O. BOX 1988 <br />20 CIVIC CENTER PLAZA MIl <br />SANTA ANA <br /> <br />EMPLOYEES AND <br /> <br />CA <br /> <br />92702 <br /> <br />ADDITIONAL INSURED(S) : <br /> <br />DESCRIPTION OF OPERATIONS: <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 or organization <br />shown in the Schedule, but only with respect to liability arising out of your ongoing operations <br />performed for that insured. APPROVED AS TO FORM <br /> <br /> <br />aura Sheedy <br />Deputy City trorney <br /> <br />Record#: 92570 Master#: <br />CG 20 10 10 93 <br /> <br />5564 Client IDVAL56226 <br /> <br />Typeac25s <br />