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'THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ ITCAREFULLY. <br />POLICY NUMBER:605rd-32.99 <br />OPA <br />FAR MERS <br />INSURANCE <br />ADDITIONAL INSURED -SCHEDULED PERSON OR <br />ORGANIZATION <br />I l its endorsemel a modi flee Insurance providtd andrer rha Followhtg. <br />BUSINES SOWN ERS LIABILI IY COVERAGE FORM <br />BUSINFSSOWNERS COMMON POLICY CONDITIONS <br />JGro840 <br />god Edition <br />Wit II respect to cuveragra provided by This endorsement. UIe Provisions of the Coverage Form apply unless Inoriffieri by the <br />endorsement. <br />r SCHEDULE <br />;Nance Of Additional Insured Person(s) r:ITY6F5AN1'AAPIA,IR6FFICF:rLS - <br />Or Organlzatlon(s)I '.� EMPLOYLES. A(1EN16tPV(,LUNIELR1, <br />Location Of Covered Operation(s): 12723PARKS1 <br />CE RFKOS CA 90)03 <br />Effective Date Of E n<lorsement: <br />If nu enh+-a,r<tr abov<t. inlurmation rPd rured [o dour Este this endur.,enua - --_- --- ' <br />1 _FF ___. 1 p rn will beshownin thr. declarations <br />ilre.L71JSIPIESSO4VP11:It5 LIABIL11YCOVERA61, FORM Lsaalondedas&,ilowrs: "- <br />A. N rit respect to the additional iruufed described in Paragraph B. of this andorsement, the 10110winy exdtuions are added <br />to Paragraph '1. Applicable To Business Liability Coverage uncle, Section B. Exclusions: <br />1 his insurance Boas not applyto: <br />I. 'Bodily injury" or "pmpetty clamage" for which theaddihanal Insurerl(s) is obligated to pay damages by Ieason of <br />[heassumptlonofll)woul namubact oragreernalrt. inufaclusrondoesnutapply Co liability fordamages that urn <br />addil'ional Insureds) would have In the absenceoi the connacr or arjrec+men[ <br />2. "Bodily injury"o, "properly damage"oceurting after <br />a. Your ongoing "Peradons at the Incat`IU11 of covered opelaCrnns omer than service rnaintenanre or repairs <br />pertonned by you or un your behalf have been c:oulp,prod: nr <br />b. fhe portion of your ongoing Operation Out of which the "bodily Injury" or "Lvoper'ty damage" arises has been <br />Put to Its intomde I use byany person or organization. <br />oat in no evenrshall Ws Insurance apply to "bodily unury" or "puriperty dannge"aris'ing out of your operations slat <br />ware completed prior to Cha ef(ectivc dale of this endorsenlent- <br />3. "Bodily Injury" of 'Properly damage" ansing out of any act or omission of the additional in5'ured(s) of any of its <br />"POIPloyaes", agents or ronnacturs other than you, ex,cpl for general suparvision by the addihonai heu r,o(s) of <br />your ongoing operations performed for that addf tion:al insured. <br />9, "Property to <br />a. Propertyowned,usedlor occupied byor rented to the additional insured(s); <br />b. Property in the care cusmcly or Control of the additional insuredis) or over which the additional fnsured(s) <br />exercise physical Control, or <br />c. Any work including materials, was or er.luipntent funnshed fir anmection with such work which is performed <br />for theaddilional insured by you- <br />APPROVED <br />IVS11,0-LD209-1& LA 'YL2h"J;.jrltet eAd`,ti � iw, ftllTel_l��`(-nv:ces'Jh•_.: Inc whl+its eenussinrr. ,16 Page 1 oF2 <br />gy Rislc V'H M rrq.rown <br />