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POLICY NUMBER: UDC-4930316-CGL-21 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 37 04 13 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - COMPLETED OPERATIONS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) <br />Or Organization(s) <br />Location And Description Of Completed Operations <br />The City of Santa Ana, its officers, officials, employees, <br />20 Civic Center Plaza <br />and volunteers are to be covered as additional insureds <br />Santa Ana, CA 92702 <br />on the CGL policy with respect to liability arising out of <br />work or operations performed by or on behalf of the <br />Contractor including materials, parts, or equipment <br />furnished in connection with such work or operations. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section II — Who Is An Insured is amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only <br />with respect to liability for "bodily injury" or <br />"property damage" caused, in whole or in part, by <br />"your work" at the location designated and <br />described in the Schedule of this endorsement <br />performed for that additional insured and <br />included in the "products -completed operations <br />hazard". <br />However: <br />1. The insurance afforded to such additional <br />insured only applies to the extent permitted <br />by law; and <br />2. If coverage provided to the additional insured <br />is required by a contract or agreement, 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 to these <br />additional insureds, the following is added to <br />Section III — Limits Of Insurance: <br />If coverage provided to the additional insured is <br />required by a contract or agreement, the most we <br />will pay on behalf of the additional insured is the <br />amount of insurance: <br />1. Required by the contract or agreement; or <br />2. Available under the applicable Limits of <br />Insurance shown in the Declarations; <br />whichever is less. <br />This endorsement shall not increase the applicable <br />Limits of Insurance shown in the Declarations. <br />Risk Manigzment Division <br />REmEWEDA& APPRCNEDB/Y: <br />��JI�1.11_I�L' <br />TIC �IGQ1/rG�O <br />Risk Management Specialist <br />CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 <br />