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POLICY NUMBER: CBP8699930 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 37 07 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - COMPLETED OPERATIONS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) <br />Or Organization(s): <br />Location And Description Of Completed Operations <br />City of Santa Ana <br />REV - MILS CA, #3011 <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />Section II — Who Is An Insured is amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only with <br />respect to liability for "bodily injury' or "property dam- <br />age" caused, in whole or in part, by "your work" at <br />the location designated and described in the sched- <br />ule of this endorsement performed for that additional <br />insured and included in the "products- completed <br />operations hazard ". <br />CG 20 37 07 04 <br />© ISO Properties, Inc., 2004 <br />CERT NO.: 5355439 CLIENT COLE: M£RCH -1 Holton CeRifilate Pmcesaing 7113/2009 4:31:52 AM Page 4 Of 6 <br />Page 1 of 1 ❑ <br />