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<br />to: aty of Santa Ana Page 3 of 3 <br /> <br />2006-00-0720:07:01 (GMT) <br /> <br />17142761372 From M est>)/'"le j,o:'.,ra!'l.E' Services <br /> <br />'. ............... '.. ..... .' .........> ". ... ...... ...... .... ". .... . :....... COMMERCIAL GENERAL 1I1\BllITY <br />.. ....PoJicyNumber:660529X380t-Q6 ....:... < '.. ...... > ...... <br />......Carrier:.... . "'Travelerslnqemnilyc;o.ofQT <br />E~pires:.6/24/2007. . .... . <br /> <br />. ..... THIS..ENDORSEMENT CHANGES THE POLlCY- PLEASEREADITCAREFULL Y <br /> <br />. .... ADDITIONAL INSURED.. OWNERS; LESSEES OR <br />. .... .... .... . <:Q,..TAA<:IOR$.(FORM E1) ". <br /> <br />"':Tbi..S endorsem~ntmodlfles:lnsuranr;ePI'Q)lldedunde.rttle. follo~lng; <br />. .-....-....,...',... ._H' -- . -..-.' .'..... .. ..,_.._,.. -.-" <br /> <br />.'.COMMERCIAL.GENERAL'LIABILlTYCOVERAGE'PART: <br /> <br />'SCHEDULE' <br /> <br />:.'. N<1rne()fPen>OI:lOrqrgani~tiol'F . <br /> <br />. . <br />. The. CityOfS'1f1laMa,ilsoffi!'ers:employees;age~l?an,jrepresel!lalh/es. . <br />POBoxl988 ' . . . . <br />SantaArlaCA 927Q2-1988 <br /> <br />: RE:. Cilyof.S<tr1\3'Arla's Commllnitypevek>Pmenl Block .Grall\..' <br /> <br /> <br />.-- ._-(It no- entry-app~rs .above; ,information reql.jjr.~~fto~90mplet~:_this_~nqQ~~rrt.will.oe sh.own in the Declaratl{ ns <br />asappli""bletqJhiS~(JfS"""'ntj . ...... '. . . <br /> <br />. WHO IS AN INSURED (Section'U) IS amended 10ir)CIudeasan 'insuredthe.person or organi~ation shownn he <br />. Schedule: but only with respects to liabilily'arisng.oufot::yourworl<'Jortl)aUlIsur<;od. by or for you. <br /> <br />Ally .ggreg.tellmlts .pplyon . per project b.sls..... <br /> <br />..Theinsurance affordedto,the Addition.ltnsure,fis prim.I'J/.lfthe"Additionallnsured has oll!er insurance <br />. WIll<;his applle.a.ble to.theJoss on an.ex.,.ss of ~9flIIngent basis, the..mountoUhe Company's liability under <br />. '. . thl~pon~y shan n9lb.e'reduc;edby .tl!eel\I~~eof.slJl;~ ()l\ler I~sur.nce. . <br /> <br />(~.I":'="" _-' .~.~; <br /> <br />.L~,-, ! '.J <br /> <br />~_ ~ 31 <br />_" ~L.___2..__., <br />L3.G~2. >" : . <br />A~..clSt2,-1l Lit:; <br /> <br />.. . .. <br />. CG20101185" <br /> <br />. . <br />. Copyright Insurance Services Office, Inc. 1984 <br />