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POLICY NUMBER� 3AA4490 COMMERCIAL GENERAL LIABILITY <br />CG 20 10i Oi 13 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - SCHEDULED PERSON OR <br />ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />14103 ITA R <br />Name Of Additional Insured Person(s) <br />Or 0 -anization(s) Locations) Of Covered 01 erations <br />City of Santa Ana, its officers, employees and Various <br />representatives, 20 Civic Center Plaza, Santa Ana, <br />CA 92705 <br />Information require J to complete this Schedule, if not shown above, will be shown in the Declarations <br />A. Section 11 - Who Is An Insured is amended to, <br />include as an additional insured the person(s) or <br />orgaown in the Schedule, but only <br />wlth respe ct to lialol I�Ity for "bodily injuiirproperty <br />damage " or "personial and advertising injury" <br />caused, in whole or in part, by: <br />1. Your acts or ornissions; or <br />2. The acts or omissions of those acting on your <br />behalf', <br />in the performance of your ongioinig operations for <br />the additional insured�s) at the location(s) <br />designated above. <br />However� <br />1. The iinsuirance afforded to such addftional <br />i�nsured only applies to the extent permitted by <br />law� and <br />coverage provided to the additional insured is <br />required by a contract or agreemenit, the <br />insurance afforded to Such additional insured <br />will not be broader than that which you are <br />required by the contract or agreement to <br />provide for such additional insured. <br />B. With respect to the insurance afforded tc these <br />additilonial� insureds, the following additional <br />exclusions apply: <br />This insurance does not apply to "bodily, injury" or <br />"property damage" occurring after. <br />11 , All work, including materials, parts or <br />equipment furinus,h,ed in connection with such <br />work, on the project (other than service, <br />maintenance or repairs) to be performed by or <br />on behalf of the additionall insured(s) at the <br />iocation of the covered' operations has been <br />completed; or <br />2. That portion of "your work" out of which the <br />injury or damage arises has, been put to its <br />intended use by any person: or organization <br />other than another contractor or subcontractor <br />engaged in, performing operations for a <br />principal as a part of the same project <br />C. With respect to the, insurance afforded to these <br />additional insureds, the following is added to <br />Section III - Limits Of Insurance., <br />CG 20 10 04 13 Q Insurance Services Office, Inc., 20112 <br />Risk Mwwgment DMsbn <br />j;?!` 5 REVIEWED & APPROVED BY.' <br />N <br />Q910—W-2 Risk Management Analpt <br />