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INSURED: h <br /> POLICY NUMBER: COMMERCIAL GENERAL LIABILITY , <br /> THIS 'ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.. <br /> ADDITIONAL INSURED-OWNERS, LESSEE OR <br /> CONTRACTORS FORM �._. <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART. ' <br /> SCHEDULE <br /> Name of person or Organization: ) - <br /> CITY OF STOCKTON. ITS OFFICERS, AGENTS AND EMPLOYEES `! ' <br /> 425 N. EL DORADO STREET <br /> STOCKTON. CA 95202 �1 <br /> (If no entry appears above, information required to co this endorsement will be shown in the Declaa- <br /> tions as applicable to this endorsement.) <br /> WHO IS AN INSURED (Section tl) is amen deonclude as an in red the p son or organization shown <br /> in the Schedule, but only with respect to liabil4y arising out of "you work" for that insured by or for you. <br /> \S_- ature <br /> Author zed Representative <br /> V1 <br /> `j <br /> V <br /> CG 20 10 11 85 Copyright, Insurance Services Office, Inc., 1984 <br />