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*%W <br />POLICYNUMBER: CLS1547446 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 10 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 Og anization s <br />Locations <br />of Covered Operations <br />City of Santa Ana <br />Re: Electrical <br />Work <br />Building Maintenance Division <br />20 Civic Center <br />Plaza <br />P.C. Box 1988 <br />Santa Ana, CA <br />92702 <br />20 Civic Center Plaza <br />Santa Ana, 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. <br />clude as an additional insured the person(s) or or- <br />ganization(s) shown in the Schedule, but only with <br />respectto liabilityfor "bodily injury", "property dam- <br />age" or "personal and advertising injury" caused, in <br />whole 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 performance of your ongoing operations for <br />the additional insured(s) at the location(s) desig- <br />nated above. <br />With respect to the insurance afforded to these ad- <br />ditional insureds, the following additional exclu- <br />sions apply: <br />This insurance does not apply to "bodily injury" or <br />"property damage" occurring after: <br />L All work, including materials, parts or equip- <br />ment furnished in connection with such work, <br />on the project (other than service, mainte- <br />nance or repairs) to be performed by or on be- <br />half of the additional insured(s) at the location <br />of the covered operations has been com- <br />pleted; or <br />2. That portion of "your work" out of which the in- <br />jury or damage arises has been put to its <br />intended use by any person or organization <br />other than another contractor or subcontractor <br />engaged in performing operations for a princi- <br />pal as a part of the same project. <br />CG 20 10 07 04 Copyright, ISO Properties, Inc., 2004 Page 1 of 1 <br />