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arswaR <br />Relwilding Together orange County <br />P.0. Box 329 <br />TUSTIN CA 92781-0329 USA <br />i <br />CG 20 10 07 04 <br />POLICY NUMBER: 624011720001 <br />CgMERCIAL GENERAL LIABILITY <br />CG 20 10 07 04 <br />THIS ENDORSFNENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS <br />SCHEDULED PERSON OR ORGANIZATION <br />This endorsement Rudifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEWLE <br />Location(s)~of~coveredu0peratisort~s(s)or Organization(s): city of Santa Ma <br />Information required to conplete this schedule, if not shown above, will be shorn to the <br />Declarations. <br />A. Section 11 - who IS M Insured is amended to include as an additional insured the person(s) <br />or organisation (s) shown in the schedule, but only with respett to liability for "bodily <br />injury', property damage' or "personal and advertising injury" caused, in whole or in part, <br />by: <br />1. Your acts or omissions; or <br />2. Ttte acts or omissions of those acting on your behalf• <br />in the performance of your ongoing operations for the additional insureds) at the location(s) <br />designated above. <br />a. onth respect to the insuranu afforded to these additional insureds, the following <br />additional exclusions apply' <br />This insurance does not apply to "bodily injury" or "property damage" occurring after: <br />1. All work, including mates als, parts or equi Anent ,fu rrttshed in connection vnth such work, on <br />the project.(other than service, maintenance or repairs) to be perforated 6y or on behalf of the <br />additional nnsured(s) at the location of the covered operations has been conpleted; or <br />2. 'that portion of "your cork" out of which the in ury or damage arises has been put to its <br />intended use by any person or organization other than another contractor or subcontractor <br />engaged in perfortm ng operations fora principal as a. part of the soots project. <br />CG 20 10 07 04 <br />(c) ISO Properties,-Inc., 2004 <br />cerBiiraie xo: s7DO27sozlaa <br />