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<br />...... <br /> <br />, <br /> <br />INSuRED <br />Rebuilding Together Orange County <br />625 S. Cypress <br />Santa Ana CA 92701 USA <br /> <br />CG 20 10 11 85 <br /> <br />COMMERCIAL GENERAL LIABILITY <br /> <br />ADDITIONAL INSURED <br />CONTRACTORS (FORM B) <br /> <br />OWNERS, LESSEES OR <br /> <br />This endorsement modifies insurance provided under the following: <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br /> <br />Name of Person or organization: City of Santa Ana <br /> <br />project: <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 the liability arising out of "your work" for <br />that insured by or for you. <br /> <br />CG 20 10 11 85 <br /> <br />Copyright, Insurance Services Office, Inc., 1984 <br /> <br />P;..'::~;'."R..'0'~~/~J /~S Cr"..-; ~:~..,(~ <br />~ -- .. - ~::~~;'lr <br /> <br />_ ~.._~/L <br />AS~:~,:t ~~;~~ :~~-::~:;~~V - <br /> <br />Certificate No: <br /> <br />570021672930 <br />