Laserfiche WebLink
POLICY NUMBER: TB2GG1OG878702G <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 37 07/04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ |TCAREFULLY. <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Parsmn(s)[xr Organ izodnn(s): <br />CITY DF SANTA ANA, 2U CIVIC CENTER PLAZA, SANTA ANA, CAQ27O1 <br />Location and Description ofgpemdion(s)orOrQenioodon(s): <br />CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND <br />REPRESENTATIVES <br />(Information required to complete this Schedule, if not shown above, will be shown in the Declarations.) <br />Section 11 - Who Is An Insured is amended to include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property <br />damage" caused, in whole or in part, by "your work" at the location designated and described in the <br />schedule of this endorsement performed for that additional insured and included in the "products- <br />completed operations hazard". <br />Attachment Code: D524376 <br />Certificate ID: 14241328 <br />- <br />cb��ua� (Pei 5 W1 } <br />