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POLICY NUK0BER:TB2GG1OGG787U28 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 10 07 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ |TCAREFULLY. <br />����Ul����d� U������K�.���U��� U����������� <br />'___'--_-_ _-__'—__ _-'''_'-'~' ~~~�,~-~~~~�.~ -~.. <br />CON RS ~ SCHEDUU ED PERSON <br />OR <br />ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name 0f Additional Insured Peromn(s)OrOrganizotiun(s): <br />CITY OF SANTA ANA, 20 CIVIC CENTER PLAZA, SANTA ANA, CAH27O1 <br />Location and Description ofOpemtion(s)or Organ ioodon(a): <br />CITY DF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND <br />REPRESENTATIVES <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 as an additional insured the person(s) or organization(s) <br />shown in the Schedule, but only with respect {o liability for "bodily injury". "property damage" or "personal and <br />advertising injury" caused, in whole orin part, by: <br />1. Your acts or omissions; or <br />2. The acts ur omissions uf those acting on your behalf; <br />in the performance of your ongoing operations for the additional inaumd(s)at the |ocotiun(s) designated above. <br />[l With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: <br />This insurance does not apply to "bodily injury" or "property damage" occurring after: <br />1.. All work, including materials, parts or equipment furnished in connection with such work, on the project <br />(other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at <br />the location of the covered operations has been completed; or <br />2. That portion of "your work" out of which the injury mdamage arises has been put to its intended use by <br />any person or organization other than another contractor or subcontractor engaged in performing operations <br />for o principal aua part of the same project. <br />Auucbmuo Code: D524376 <br />Certificate ID: 14241328 <br />