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POLICY NUMBER: MP0004009002994 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20100413 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />W 'i R 1 0 A - - �$ � <br />e ZINO .1 Diu 4 a** <br />Nk LfV U, <br />This enclorsement 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) <br />Location(s) Of Covered Operations <br />CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, <br />AGENTS AND REPRESENTATIVES <br />% FINANCE & MANAGEMENT SERVICES AGENCY <br />PO. BOX 1988 M-16 <br />Information requ�red to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section ||—WUho Is An Insured is amended to <br />include oeanadditional insured theperson(s) nr <br />organization(s) shown in the �Schedule, but only <br />� respect fu liability "'bodily h�ury^ "property <br />damage" or "personal and advertising injury" <br />caused, inwhole mrim part, by: <br />1. Your acts oromissions; 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) <br />designated above. <br />However <br />1^The insurance afforded to such additional <br />insured only applies bmthe extent permitted by <br />law,- and <br />2. Mcoverage provided iuthe additional insured is <br />required by m contract or mgnoement, the <br />insurance afforded to such additional insured <br />will not he broader than that which you are <br />required by the contract or agreement to <br />provide for such additional insured, <br />B. With respect to the insurance afforded to thiese <br />additional insureds, the following additional <br />exclusions app|y� <br />This insurance does not apply to"bodily injury" or <br />"property damage" occurring after, <br />1. 4J| work, including materials, parts or <br />equipment furnished in connection with such <br />work, on the project (other than service, <br />maintenance or repairs) tohe performed by or <br />on behalf of the additional insured(s) at the <br />location of the covered operations has been <br />completed; or <br />3. That portion of ''ymmr work" out of which the <br />injury or damage arises has been put to its <br />intended use by any person o/ organization <br />other than another contractor orsubcontractor <br />engaged in performing operations for a <br />principal ammpart mfthe same project. <br />CG 20 10 04 13 @ Insurance Services Office, Inc., 2012 Page of 2 <br />