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INSURED: <br /> u • � S- 1 <br /> POLICY NUMBER: T <br /> COMMERCIAL GENERAL LIABILITY t <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAR,EFULLY.. =� <br /> ADDITIONAL INSURED-6WNERS, LESSEE OR <br /> f CONTRACTORS (FORM B) <br /> This endorsement modifies insurance provided under the following: � I <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br /> SCHEDULE <br /> Name of Person or Organization: ? <br /> CITY OF STOCKTON, ITS OFFICERS, AGENTS AND E425 N. MPLOYEES <br /> STO <br /> ti <br /> EL DORADO STREET <br /> STOCKTON, CA 95202 <br /> (If no entry appears above, information required <br /> tions as applicable to co this a orsement <br /> to this to <br /> will be shown in the Declaa- <br /> n I <br /> WHO IS AN INSURED (Section II) is amendenclude as a\�ured son or organization shown I` <br /> in the Schedule, but only with respect to liabiOo l Y arising out of "you work" for that insured by or for you. f <br /> r.� 1111 <br /> S' ature . } <br /> \ Author zed Representative <br /> I <br /> L. <br /> I <br /> a : <br /> CG 20 10 11 85 Copyright, Insurance Services Office, Inc, 1984 i <br /> r <br /> 0 1 <br /> t <br />