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<br />0?/11/2003 17:04 <br /> <br />- <br />BACCARELLA INSURANCE ~ 17145552593 <br /> <br />NO. 471 [;)02 <br /> <br />POLICY NUMBER: 2537007460 <br />C. B. Glenn Tile Company, InC. <br /> <br />COMMERCIAL. GENERAL.UABIUTY <br />CO 20 10 0317 <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED - OWNERS. LESSEES OR <br />CONTRACTORS - SCHEDULED PERSON OR <br />ORGANIZATION <br /> <br />This endoraemenl modlfleB Insurilllce provided llnder Ihe following: <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br />SCHI!!:lUL.! <br /> <br />Name of 'e",on or Orlllnlzallon: <br />City of Senle Ana 115 officers, agents & employees <br /> <br />(If no enlry appelra ebovl, InformaUon required to complete 11'11& endorsement will be ahow" in the Declarallona aa <br />appllclPle 10 this endorsement.) <br /> <br />Who II An Inll/red (Sec:tlon II) Is amsnded to include as an In6llFad tha person or organiz81ion shown In tlle <br />SCMda.1e. bul omy wilh respeclto liability arisinG aul of your ongol"g operations performed for Ihlllnsured. <br /> <br />Job: Ths Depot et S.nls Ana, 1000 E. Santa MS Blvd., Sente Me, CA <br /> <br />CG 20 100317 <br /> <br />Ccpyrtghl, Insurance Services Office, Inc., 1998 <br /> <br />PIIII 1ef 1 Cl <br />