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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLICY NUMBER:60366-65-69 FARMERS INSURANCE ADDITIONAL INSURED -SCHEDULED PERSON OR ORGANIZATION This endorsement modifies Insurance provided under the following: BUSINESSOWNERS LIABILITY COVERAGE FORM BUSINESSOWNERS COMMON POLICY CONDITIONS j6840 2nd Edition With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SCHEDULE Name Of Additional Insured Person(s) Or Organl=atlon(s): CITYOFSANTAANA 'SEEJ7105AMENDTOADDNLINS Location Of Covered Operatlon(s): 375o W MCFADDEN AVE SANTAANACA92704 Effective Date Of Endorsement: 05/05/20 If no entryappears above, Information required to complete this endorsement will be shown in the Declarations. The BUSINESSOWNERS LIABILITY COVERAGE FORM Is amended as follows: A. With respect to theadditional Insured described In Paragraph B. of thisendorsement, the following exclusions are added to Paragraph 1. Applicable To Business Liability Coverage under Section B. Exclusions: This Insurance does not apply to: 1. "Bodily injury" or "property damage" for which the additional Insured(s) Is obligated to pay damages by reason of the assumption of liability Ina contractor agreement. This exclusion does not apply to liability for damages that the additional insured(s) would have in the absence of the contractor agreement. 2. "Bodily injury" or"property damage"occurring after. a. Your ongoing operations at the location of covered operations other than service maintenance or repairs performed by you or on your behalf have been completed; or b. The portion of your ongoing operation out of which the "bodily Injury" or "property damage" arises has been put to Its Intended use by any person or organization. But in no eventshall this Insurance apply to "bodily Injury" or "property damage" arising out of your operations that were completed prior to the effective date of this endorsement. 3. "Bodily Injury" or "property damage" arising out of any act or omission of the additional insured(s) or any of Its "employees", agents or contractors other than you, except for general supervision by the additional insureds) of your ongoing operations performed for that additional Insured. 4. "Property damage' to: a. Property owned, used or occupied by orr�t4theadtVA"Dwo; b. Property in the care custody or control Cp<"AJ9R*rhtxTrE"W%ver which the additional insured(s) exercise physical control; or c. Any work Including materials, parts or equipmet Cwannection with such work which Is performed for the additional insured byyou. ANf{1E ACEVEdO J6840-ED209-18 Includescopyrighted material oflnsumneeServices Office, lrc,with Its permtssslon. Pagel oft 93.6a40 ra402ol