Laserfiche WebLink
AMENDATORY ENDORSEMENT NO.: 1500343 <br />INSURED: STEPHEN PL SOLOMON <br />EFFECTIVE: February 5, 2022 to February 5, 2023 <br />ADDITIONAL PREMIUM: Included <br />Commercial General Liability <br />CG 20 10 10 01 <br />This endorsement changes the policy. Please read it carefully. <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />Schedule <br />Name of Additional Insured: The City of Santa Ana, it's officers, employees, agents, and <br />representative <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations <br />as applicable to this endorsement.) <br />A. Section II - Who Is An Insured is amended to include as an insured the person or organization shown in the <br />Schedule, but only with respect to liability arising out of your ongoing operations performed for that <br />insured. <br />B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: <br />2 Exclusions <br />This insurance does not apply to 'bodily injury" or "property damage" occurring after: <br />(1) All work, including materials, parts or equipment furnished in connection with such work, <br />on the project (other than service, maintenance or repairs) to be performed by or on behalf <br />of the additional insured(s) at the site of the covered operations has been completed; or <br />(2) That portion of "your work" out of which the injury or damage arises has been put to its <br />intended use by any person or organization other than another contractor or subcontractor <br />engaged in performing operations for a principal as a part of the same project. <br />CG 20 10 10 01 Copyright, ISO Properties, Inc., 2002 <br />All other terms, conditions, limits and exclusions remain unchanged. <br />Attached to and forming part of Certificate No.: CEM 758 - 21 <br />Dated: January 31, 2022 UNDERWRITERS AT LLOYD'S, LONDON <br />(UMR) B0429BA2101027 <br />PW*1M <br />Complete mty Markets, Inc. <br />dba Complete uity Markets Insm/. <br />u-rya�nw Agency, n In . (CASL#ODW7 <br />Byl.C!//�iLf7fL (_ <br />Lawrence T.P. Molloy <br />Endorsement #22 <br />WakMougementDWian <br />+09" RENEWED&APPROVED BY: <br />s <br />®- Risk Management Matyst <br />