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POLICY NUMBER:CIP457099002 COMMERCIAL GENERAL LIABILITY <br /> CG 20 10 04 13 <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) <br /> Or Organization(s) Location(s) Of Covered Operations <br /> CITY OF SANTAANA, ITS CITY COUNCIL, AS REQUIRED IN WRITTEN CONTRACT WITH THE <br /> OFFICERS, OFFICIALS, EMPLOYEES,AND NAMED INSURED <br /> AGENTS <br /> 20 CIVIC CENTER PLAZA <br /> SANTAANA, CA 92702 <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 in- B. With respect to the insurance afforded to these <br /> clude as an additional insured the person(s) or or- additional insureds, the following additional exclu- <br /> ganization(s) shown in the Schedule, but only with sions apply: <br /> respectto liability for "bodily injury", "property dam- This insurance does not apply to "bodily injury" or <br /> age"or "personal and advertising injury" caused, in "property damage"occurring after: <br /> whole or in part, by: <br /> 1. All work, including materials, parts or equip- <br /> 1. Your acts or omissions; or ment furnished in connection with such work, <br /> 2. The acts or omissions of those acting on your on the project (other than service, mainte- <br /> behalf; nance or repairs) to be performed by or on <br /> in the performance of your ongoing operations for behalf of the additional insured(s) at the loca- <br /> the additional insured(s) at the location(s) desig- tion of the covered operations has been com- <br /> nated above. pletedI or <br /> However: 2. That portion of "your work" out of which the <br /> injury or damage arises has been put to its <br /> 1. The insurance afforded to such additional in- intended use by any person or organization <br /> sured only applies to the extent permitted by other than another contractor or subcontractor <br /> law; and engaged in performing operations for a princi- <br /> 2. If coverage provided to the additional insured pal as a part of the same project. <br /> is required by a contract or agreement, the in- <br /> surance afforded to such additional insured <br /> will not be broader than that which you are re- <br /> quired by the contract or agreement to provide <br /> for such additional insured. <br /> CG 20 10 04 13 Copyright, Insurance Services Office, Inc., 2012 Page 1 of 2 <br />