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POLICY NUMBER: WS664588 COMMERCIAL GENERAL LIABILITY <br /> CG 20 10 04 13 <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 Organization(s) Location(s)Of Covered Operations <br /> City of Santa Ana, its City Per Contract and/or Agreement <br /> council, officers, officials, <br /> employees, agents, and volunteers, <br /> 20 Civic Center Plaza, Santa Ana, <br /> CA 92701 <br /> Information required to complete this Schedule, if not shown above,will be shown in the Declarations. <br /> A. Section 11 -Who Is An Insured is amended to include B. With respect to the insurance afforded to these <br /> as an additional insured the person(s) or additional insureds, the following additional exclusions <br /> organization(s) shown in the Schedule, but only with apply: <br /> respect to liability for "bodily injury", "property <br /> damage" or "personal and advertising injury" caused, This insurance does not apply to "bodily injury" or <br /> "property damage"occurring after: <br /> in whole or in part, by: <br /> 1. All work, including materials, parts or equipment <br /> 1. Your acts or omissions; or furnished in connection with such work, on the <br /> project(other than service, maintenance or repairs) <br /> 2. The acts or omissions of those acting on your to be performed by or on behalf of the additional <br /> behalf; insured(s)at the location of the covered operations <br /> in the performance of your ongoing operations for the has been completed; or <br /> additional insured(s) at the location(s) designated 2. That portion of"your work" out of which the injury <br /> above. or damage arises has been put to its intended use <br /> by any person or organization other than another <br /> However: contractor or subcontractor engaged in performing <br /> operations for a principal as a part of the same <br /> 1. The insurance afforded to such additional insured project. <br /> only applies to the extent permitted by law; and <br /> 2. If coverage provided to the additional insured is <br /> required by a contract or agreement, the insurance <br /> afforded to such additional insured will not be <br /> broader than that which you are required by the <br /> contract or agreement to provide for such <br /> additional insured. <br /> CG 20 10 04 13 Copyright, Insurance Services Office, Inc_,2012 Page 1 of 2 <br />