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Sierra Cybernetics laic, <br />Policy# 1034949260 <br />SR -146932-9 <br />(Ed. 03/06) <br />THIS ENDORSEMENT CHANGES TIE POLICY. F LF=ASE REAP] IT CAREFULLY. <br />NONZONTRACTORS BLANKET ADDITIONAL INSURED <br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES ,AGENTS. & <br />This endorsemont modifiers insurance proevidod under the f©Ilawing: REPRESENPA=S <br />20 CIVIC CENTER DRIVE <br />DVS1NC,GCi0WNr,AG LIMLITY 00Vr_RAGE FORM. SANTA ANA, CA 92702 <br />Ovverage of i-ded sunder this oxionVon of coverage endloreement does not apply to any person or organfzadon covered <br />as an additional insured on any outer endorsement now or her Aar agtarhed to this Goveraue Part. <br />1, ADDITIONAL INSURED RED - BLANKED" VENDORS <br />WHO IS AN INSURED is arnended to include as an <br />adOlonal Insured any person or organization (referred <br />to below as vendor) wilh whom you agreed, because <br />of a written contract of agreement to piuvlde <br />ingur-Ah6k hrrt 6hly wilh rasped to "bodily injury" nr <br />,property damage" arising out of "your products" whirr# <br />are distributed or sold in the regurar course of the <br />vendors business; eSuNeat to the following additional <br />exclusions: <br />I. Tne lnsiaence aVordeu the vendor paes not <br />apply to: <br />a. "Bodily lnjury" or "property damage" for <br />which the vendor is obligated to pay <br />damage& by mason of the assumption of <br />liability in a contfact or agreement. This <br />exclusion tloaG ,not apply to liabllrty for <br />damages that the vendor would have in <br />the aD!t once of me (wimravi or agmemeni; <br />17. <br />Any express warranty unauttterizetl kay <br />you; <br />a. <br />Any physlcal or ehernioel change in the <br />product made intentionally by the vendor; <br />d, <br />l epachrur Jng, except when unpecKed <br />solely for " purpose of inspection, <br />demongtmtion, testing, or the substitutfan <br />of parts under instructions from the <br />manufactturer, and thea repackaged in the <br />original container, <br />a. <br />.Any fniraarA to n mkA minh in:ealioeflom.q, <br />® <br />adjustments, tests or servicing as the <br />vendor has agreed to make or normally <br />undertakes to metes in the usue4 course of <br />business, in connection wiM the <br />distribution Qr sale of the vroducts. <br />f. <br />DemonsVatlon, installatlon, servicing or <br />repair operations, except suW operations <br />performed at the vendor's premises in <br />connection with the Sale3 of the proOuctt; <br />g. <br />Produots which, after distribution or sale <br />,= <br />by you, have been labeled or reJabale3d or <br />urad #Iia a acrtiteintr, put or ingeedi6nl orf <br />M= <br />any alhar lhina or i�u4i§lon4o by or for tho <br />vender, cr <br />h. "Bodily injury" or 'property damage" <br />arising out of [Ne sole negligence of the <br />vendor 1br its awry acts or omission or <br />throe of its employees or anyone else <br />acting on Its behalf. However, this <br />excfuslon does not apply to, <br />(g) The exc.eptlons oontatnewd in <br />Subpaiaellraptaa d. ee #., vi <br />(2) touch Inepeotio riz, adjustments, testa <br />or servicing as the vendor has <br />agreed to maks or normally <br />undertakes to make in the usual <br />course of business, in connectlon <br />with the rli%Mhitfinn nr sacra of the <br />products. <br />2. This insurance doer, rlvt apply to any insured <br />person or orgeanizestlan, from whom you have <br />acquired such products, or any ingredient, <br />part or container, emering ln10, accompanying <br />or containing such products_ <br />3. This provision 2, does not apply to any vendor <br />included as an insured by an endorsement <br />lssuAd by tis and mane a part of this <br />Coverage Part, <br />4. This provision 2. dost not apply if "bodily <br />injury" or "property damage" intlud4d wilhin <br />the 'products -completed operations hazard" is <br />excluded either by the provisions of the <br />Coverage mart or by endomement, <br />2. MiSCELLANEOUSADDIT1ONALINSUREDS <br />WHO IS AN INSURSI] Is an -tended to include as an <br />inaurad any peraon or grgan1t;mt1on (called additional <br />insured) described in paragraphs 3.a. through 3.h. <br />balow whom you Ewe required to add as an additional <br />irrsufeed on this Poliov under a written contract or <br />agreement bW the Written contract or agreement mutt <br />1. Currently in effect or becorning effective <br />donne the term of INt policy; and <br />2. Executed prior to the "bodily injury," "property <br />dan'leg4" or "persnnal nn€t advWising inimy." <br />bol <br />Only the following parsons or organizations are <br />srJdMonal inkermda Linder this endoraomont and <br />S®.44693'? -9 rape 1 of <br />(ted. MN (Version 1.0) <br />