Laserfiche WebLink
<br />To: City of Santa Ana Page 3 of 3 <br /> <br />2006-09.0720:07:01 (GMT) <br /> <br />17142761372 ;':IT n ^' est :'",0 <br /> <br />"oj ~ :'12I-\,ICe~ <br /> <br />. <br /> <br />, <br /> <br />Policy Number: 660529X3801-06 <br />Carrier: Travelers Indemnity Co, of CT <br />Expires: 6/24/2007 <br /> <br />COMMERCIAL GENERM LI/iBIl iTV <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY - PLEASE READ IrCAREFULL Y <br /> <br />ADDITIONAL INSURED -OWNERS, LESSEES OR <br />CONTRACTORS (FORM B) <br /> <br />TIll!> endorselntmt modifies insuranCe provided under tl)e 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, employees, agents, and representatives. <br />PO Box 1988 <br />Santa Ana CA 92702.1988 <br /> <br />RE: City of Santa Ana's Community Development Block Grant <br /> <br />(If no entry appears above, information required to cornplete this endorsementwillbe shown In the De:l.3r=il ( flS <br />as appliCi!ble to this endorsement) <br /> <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shoNr, 11e <br />Schedule,. but only with. respects to liabilityarising.outof"yourworl(for.thatinsured by or for you <br /> <br />Any aggregate IIm~s apply on a per project basis. <br /> <br />The insurance afforded ,to the Additional Insured -is primary. If the Additional Insured has other insurimc e <br />Which is appllcable'to the loss 0" an excess of contingent basis, the amountofth13 Company's liability under <br />thl~ pOliCY ~hall not be leQuced by thee~lstence of ~~ch other Insurance. <br /> <br />175 <br /> <br />3/) <br />~ <br /> <br />CG20 10 1185 <br /> <br />CoPyright Insurance Services Offic", Inc. 1984 <br /> <br />