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POLICY NUMBER :46 SBM UN0237 <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 />BUSINESS LIABILITY COVERAGE FORM <br />SCHEDULE <br />Name Of Additional Insured Person(s) Or Organization(s): <br />CITY OF SANTA ANA RISK MANAGEMENT DIVISION 4TH FLOOR <br />Location And Description Of Completed Operations: <br />20 CIVIC CENTER PLZ SANTA ANA CA 92701-4058 <br />Section C. — Who Is An Insured is amended to <br />include the following: <br />a. The person(s) or organization(s) shown in <br />the Schedule on the Declarations is also <br />an additional insured, but only with <br />respect to liability for "bodily injury" or <br />"property damage" caused, in whole or in <br />part, by "your work" and at the location <br />designated and described in the Location <br />And Description Of Completed Operations <br />Schedule in the Declarations performed <br />for that additional insured and included in <br />the "products -completed operations <br />hazard". <br />b. With respect to the insurance afforded to <br />these additional insureds, this insurance <br />does not apply to 'bodily injury", "property <br />damage" or "personal and advertising <br />injury" arising out of the rendering of, or <br />the failure to render, any professional <br />architectural, engineering or surveying <br />services, including: <br />(1) The preparing, approving, editing of <br />or failure to prepare or approve, shop <br />drawings, maps, opinions, reports, <br />surveys, change orders, field orders, <br />designs, drawings, specifications, <br />warnings, recommendations, permit <br />applications, payment requests, <br />manuals or instructions; <br />Form SS 41 71 12 19 <br />Process Date: 04/12/22 <br />(2) Supervisory, inspection, quality <br />control, architectural, engineering or <br />surveying activities or services; <br />(3) Maintenance of job site safety, <br />construction administration, <br />construction contracting, construction <br />management, computer consulting or <br />design software development or <br />programming service, or selection of <br />a contractor or programming service; <br />(4) Monitoring, sampling, or testing <br />service necessary to perform any of <br />the services included in (1), (2) or (3) <br />above; <br />(5) Supervision, hiring, employment, <br />training or monitoring of others who <br />are performing any of the services <br />included in (1), (2) or (3) above; <br />c. The insurance afforded to these <br />additional insureds only applies to the <br />extent permitted by law. <br />i RenEviEo6M1'a Sr: <br />Policy Exl %u Aini" <br />WNW— I <br />© 2019, The Hartford <br />(Includes copyrighted material of Insurance Services Office, Inc., with its permission) <br />