SANTA FE BUILDING MAINTENANCE (3)

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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ ITCAREFULLY. POLICY NUMBER:60366-65-69 FARMERS INSURANCE A840 2nd Edition ADDITIONAL INSURED - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: LIABILITY COVERAGE FORM COMMON POLICY CONDITIONS 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 Organlzation(s): CITYOFSANTAANA `SEEJ7105 AMENDTO ADDNL INS Location Of Covered Operatlon(s): 60 CIVIC CENTER PLZ SANTAANACA92701 Effective Date Of Endorsement: 05/05/20 If no entry appears above, information required to complete this endorsement wil I be shown in the Declarations. The BUSINESSO WNERS LIABILITY COVERAGE FORM is amended as follows: A. With respect to theadditional insured described in Paragraph B. of this endorsement, thefollowing 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 in a 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 byyou oron 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 event shall this insurance apply to "bodily injury" or "property damage" arising out of your operations that were completed prior to the effective date of th Is 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 Insured(s) of your ongoing operations performed for that additional insured. 4. "Property damage" to: a. Property owned, used or occupied by or rented to the additionalinsured(s); b. Property In the care custody or control of the additional insured(s) or over which the additional insured(s) exercise physical control; or c. Any work including materials, parts or equipment furnished in connection with such for the additional insured byyou. iBen &APRR0V®BY; %ale pec: &, RukryLina9emrz OniUlAide J6840-ED2 09-18 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 93.6840