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POLICY NUMBER: PHPK162357 <br />COMMERCIAL GENERAL LIABILITY <br />CG 2010 07 04 <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 O anization s : <br />Locations Of Covered O erations <br />CTiY OF SANTA ANA <br />Information aired to com fete this Schedule, if not shown above will be shown in the Declarations. <br />A. Section 11 -Who Is An Insured is amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only <br />with respect to liability for "bodily injury", "property <br />damage" or "personal and advertising inJury" <br />caused, in whale or in part, by: <br />1. Your acts or omissions; or <br />2. The acts or omissions of those acting on your <br />behalf; <br />in the pertormance of your ongoing operations for <br />the additional insureds) at the location(s) desig- <br />nated above. <br />~k_ ' <br />_v ~_.~_ ~ Y., <br />B. With respect to the insurance afforded to these <br />additional insureds, the following additional exclu- <br />sions apply: <br />This insurance does not apply to "bodily injury" or <br />"property damage" occurring after. <br />1. All work, including materials, parts ar equip- <br />ment famished in connection with such work, <br />on the project (other than service, maintenance <br />or repairs) to be performed by or on behalf of <br />the additional insureds) at the location of the <br />covered operations has been completed; or <br />2. That portion of "your work" out of which the <br />injury or damage arises has been put to its in- <br />tended use by any person or organization <br />other than another contractor or subcontractor <br />engaged in pertorming operations fora princi- <br />pal as a part of the same project. <br />CG 2010 O7 04 ©ISO Properties, inc., 2004 Page 1 of 1 ^ <br />