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POLICYNUMBER: Mp0004014001196 COMMERCIAL GENERAL LIABILITY <br />CG 2010 0413 <br />THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - SCHEDULED PERSON OR <br />ORGANIZATION <br />Thle endoresment modli as Insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(a) Locatlon(s) Of Covered Operations <br />CITY 06' OAUTA ANA <br />SAt1TA UA, CA 92TOI <br />20 CIVIC C®NTHR KIA'3A <br />city of Santa Ana, its nffidary, officials, <br />loyeas, and volunteer# era to be cavorod as <br />it OURI inawraad ontee a6L policy With rocpeat to <br />bility arming Out Of work Or operationo performed <br />or on behalf of, the cantraotor including mntariale <br />to, equipment. furhidbed in connection with much <br />h or avarationa <br />A. Section II — Who Is An Insured Is amendedto <br />Include as an additlonal Insured the person(s) or <br />organlzatlon(s) shown In the Schedule, but only <br />with respect to liability for "bodily Injury", "property <br />damage" or "parsonal and advertising Injury" <br />caused, In whole or in part, by: <br />1. Your acts or omissions; or <br />2, The acts or omissions of those acting on your <br />behalf; <br />In the performance of your ongoing operations for <br />the additional Insured(s) at the looation(s) <br />designated above. <br />However: <br />1. The Insurance afforded to such additional <br />Insured only applies to the extent permitted by <br />law; and <br />2. If coverage provided to the additional Insured is <br />required by a oonlract 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 />CG 2010 0413 <br />t3. With respect to the Insurance afforded to these <br />additional Insureds, the following additional <br />exclusions apply: <br />This Insurance does not apply to "bodily injury" or <br />"property damage" occurring after: <br />1. All work, Including materials, parts or <br />equipment furnished 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 additional Insured(s) at the <br />location 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 some project. <br />0 Insurance Services Office, Ino., 2012 <br />Inured Copy <br />REVIEWED S APPROVED BY: <br />Risk Manag mentAnatyst <br />