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POLICY NUMBER: 2000NBC9U9Z COMMERCIAL GENERAL LIABILITY <br /> CG20101219 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - OWNERS, LESSEES OR <br /> CONTRACTORS - SCHEDULED PERSON OR <br /> ORGANIZATION <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> Name Of Additional Insured Person(s) Or <br /> Organization(s) Location(s) Of Covered Operations <br /> THE CITY OF SANTA ANA, ITS OFFICERS, <br /> EMPLOYEES, AGENTS & VOLUNTEERS <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 B. With respect to the insurance afforded to these <br /> include as an additional insured the person(s) or additional insureds, the following additional <br /> organization(s) shown in the Schedule, but only with exclusions apply: <br /> respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or <br /> damage" or "personal and advertising injury" caused, "property damage" occurring after: <br /> in whole or in part, by: 1. All work, including materials, parts or equipment <br /> 1. Your acts or omissions; or furnished in connection with such work, on the <br /> 2. The acts or omissions of those acting on your project (other than service, maintenance or <br /> behalf; repairs) to be performed by or on behalf of the <br /> in the performance of your ongoing operations for the additional insured(s) at the location of the covered <br /> additional insured(s) at the location(s) designated operations has been completed; or <br /> above. 2. That portion of"your work" out of which the injury <br /> However: or damage arises has been put to its intended <br /> 1. The insurance afforded to such additional insured use by any person or organization other than <br /> only applies to the extent permitted by law; and another contractor or subcontractor engaged in <br /> performing operations for a principal as a part of <br /> 2. If coverage provided to the additional insured is the same project. <br /> required by a contract or agreement, the <br /> insurance afforded to such additional insured will <br /> not be broader than that which you are required <br /> by the contract or agreement to provide for such <br /> additional insured. <br /> CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 <br />