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<br />10-31-2001 10,27AM <br />Sont By:.~LAGBTAFF INSURANCE; <br />::,. - <br /> <br />FROM SANTA ANA WORKCENTER <br />'-' 520 779 1 765 ; <br /> <br />714 565 2F"'2 <br /> <br />Oct-al -01 ,-",97AMj <br /> <br />P.3 <br /> <br />Page 2/2 <br /> <br />. <br /> <br />AgellOY COde 2!HI03!l-ao <br /> <br />PoliGy Number OD4625-4SH1671 <br /> <br />_~I <br />coulllalCiiloL GEiieAAL LWlILITY <br />TtlIS EHOQRSEMEHT CHANGES TtlE POLICY. PLEASE RlAD IT CAREFUllY. <br /> <br />ADDlllONAL INSURED <br />EXCLUSION. PRODUCTS-COMPLETED OPEAA1l0NS <br /> <br />This oildor.om.nl mQljific. in.Ul1InA prvvided und.,- thto fgU_inll: <br /> <br />COMMERCIAL GENERAL UABtLlTY COVERAGE fORM. <br /> <br />SCHEDULE <br /> <br />N_ eI P._ '" ~lzdon IAdclIllDMlIIllllNll): <br />CITY DF SNlTA ANA. ite officer.. a.ent. ..nd elllploy.... <br /> <br />(If no en"" appears above. infOrmation rIIquil1ld to comp_ this endorsement will be shown in Ih, Declar,tions ,. <br />apjilicablelolhis IlndCli'llement.! <br /> <br />1. UIHI.r. SfClion II . WHO IS AN INSURED. tht 1CllJOWjnt is added: <br /> <br />The person or organizalion .!town in Ihe allOve Selledul. Is .n Additional Insured. bul only wilh respecl to liabllllY <br />aiilint Oill of "yollr W<:l11c' for IhM inaUl'Vld by or fot you. <br /> <br />2. Vnder Section I. COVERAGES. 2. Exeluskllls. llle folloWing t)Ccl_i9n i. .dd.lI, <br /> <br />The iIlsuranee provided herein 10 the AdditiQllal Insu.." Iloe, nol apply 10 Ihe 'prodllels-<:tJmpleled operalilln, <br />hazard'. <br /> <br />3. Undwr SKIk>n III - LIMITS Of INSURANCE, the fgllglll/illll is .dlled: <br /> <br />The liinits 01 liability lor the Adllillonallnsurcd artllhose specified in the wrillen contract or agrnll1llnt between <br />Iht iniurtld and tilt owner, It_ or eCllWr:lc:tof. ftllllO exeeef Iht limits pmYided in Ihis potk:y. T"".. limit. are <br />im"usi." 01 and noi in addition 101h.. limits of insurance shown in ihe Decllor.tions. <br /> <br />4. Und,,~ St:crion IV. COMMERCIAL GENERAL LIABILITY CONDITIONS. 4. Other Insurance. the follaoring i. added: <br /> <br />This uisurallce is prim.IV fo( 1M ,...- or O....lIiZaliollstlown in the iGhwIM. !rul ,,"Iy IIIrith t1ISpact to liability <br />aris;n, out DI.your worlo" for tlwIl person Of' organization by Of' for you. Other i...uranoe evallable to the penon <br />or orvanilllton shown in lhe Schedule will apply as ..cess insuranc. and nO! conlrlbut. " primary insuranc. <br />to Ihe.illsul'l!_ pl'OYidcd by'lhi. .nllclts._t. <br /> <br />~rtlil~ c.yr'ghtlld ........1.1 '5" lnivr..... Sw""Wt ""'C'C.. 1fK:.. WP.f't." permt.pg" <br />COp~ht. InIUI'an_ s.-. Oftt_. 1IKl.. 10M <br /> <br />~lO_ <br />. . LEES~ "- <br />Deputy City Attorn.y <br />