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<br />~ 10-31-2001 10027AM <br />t Sent 'By: ~~AGSTAFF INSURANCE; <br />- '- <br /> <br />FRO~ SANTA ANA WORKCENTER 71d 565 ?~02 <br />'-' 520 779 1785; oct.~\ .01,"",'97AM; <br /> <br />P.3 <br /> <br />~age 212 <br /> <br />Ageney Code 25-003S-ao <br /> <br />PoliGy Number 0G4625-ioSsiu 7t <br /> <br />. _15-001 <br />COMMCACi^~ GEilSlAl LiA8II.1TY <br />TKlS EHl)ORSEMEHT CHANGES THE POLICY. PlEASE READ IT CAREFUllY. <br /> <br />ADDlllONAL INSURED <br />EXCLUSION. PRODUCTS-COMPLETED OPERAll0NS <br /> <br />Thlt 'n~..mcnt mlOlllifice in.III'1lR." plllYilled undu ,he fgMowing', <br />COM"'ERCIA~ GENERAL UABILITY COVERAGE; FORM. <br />SCHEIIUI.! <br />Ne_ ... P.,.en _ QrganlZallon IAdcl\lloMlIMlftll)l <br />CITY.Uf SANTA ANA. it" officer.. Acent. ..nel elllploye... <br /> <br />(If no entry appears above. infOrmalion required 10 complete t~is endorsemenl will ~e s~own in t~e Declarlllions ilS <br />applk;.III~IOll'lis endoi'umllnl.} <br />. . <br />1. Undlf: s.etion II - WHO IS AN INSURED, tll. follDWlng is add": <br /> <br />The person or organization shown in Ihe allOye Sc:1I.dul. Is an Addillonallnsured, bul only wilh respecllo liability <br />.;i.ln9 0<.11 Of 'your ~r\c' for IlIat insu...d by or tcIi' you, <br /> <br />2. Under ~n I. COVERAGES, 2. Excluslofls. IlIe tcI\1OWli'lg OlCcl...km Ie added; <br /> <br />The insurance provided Ilerein to lIle Addilionallneu..d doe, nolllpply 10 the 'prolluelS~_pleled operatione <br />hazard -. <br /> <br />:I Under SecIi<>. III - LIMITS OF INSURANCE. the fgllo....ing is added: <br /> <br />The limits 01 liabllily for lhe Acldilionallnsurad are Ih05. spelclllOO In lIle wrmsn contract or agreement bel",een <br />the iniured llnd Ih8 OWlHlr. lessee or cOftCl'Idor. 110I10 exceed Ihe Iift'llts proyklllclln Ihls pOlicy. TM58 limllt .re <br />inclusive of and noi In addition to the I,mits 01 insurance shown in the Declarations. <br /> <br />4. Under SeGlion IV . COMMERCI...l GENERAL LIABilITY CONDITIONS. 4. Other Insurance. Ihe following Is added: <br /> <br />This i~5uranee is prilll./y toi'IM petIOli Oi' oliattlz&liOll.sIlOWll In Ihe Schedu". but voly with tirSPec.t 10 liability <br />arlsin9 oul 01 'your worle" for thaI pel'$Oll Oi' Otllllnlzation by or for you. Other insurance ..ailable 10 tbe person <br />Of Dl'Q&nizalion s~own in the Schedule wlll apply as 8X"" insurancI and nO! contrlbutl as primary insurance <br />19 lht,insu.-.nee jll'Ovl<l" by' 'hie .ndm....""'.'. <br /> <br />11""IOk.M c:~)'rI~llld rw"'lal 'il' In,vr*nw S.n~ Off,"" m.. wn" I" PCfmllJu,n <br />Cop~"ght JM4II'an_ s..toa Ofttca, JM... lDI4 <br /> <br />~ro~ <br />..' It LEE~' <br />Deputy City Attornoy <br />