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Last modified
2/15/2019 9:03:37 AM
Creation date
7/20/2018 12:19:15 PM
Metadata
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Contracts
Company Name
CSG
Contract #
A-2018-159-03
Agency
Public Works
Council Approval Date
6/19/2018
Expiration Date
6/18/2021
Insurance Exp Date
12/4/2019
Destruction Year
2026
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POLICY NUMBER: BKW57695795 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) Or Organization(s): <br />F <br />City of Santa Ana, its officers, <br />employees, agents, volunteers and representatives <br />20 Civic Center PlazaM-30 <br />Santa Ana, CA 92702 <br />Location(s) Of Covered Operations <br />Where required by contract <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 <br />B. With respect to the insurance afforded to <br />include as an additional insured the person(s) <br />these additional insureds, the following addi- <br />or organization(s) shown in the Schedule, but <br />tional exclusions apply: <br />only with respect to liability for "bodily in- <br />This insurance does not apply to "bodily in- <br />jury", "property damage" or "personal and <br />jury" or" property damage" occurring after: <br />advertising injury" caused, in whole or in <br />1. All work, including materials, parts or <br />part, by: <br />equipment furnished in connection with <br />1. Your acts or omissions; or <br />such work, on the project (other than ser - <br />2. The acts or omissions of those acting on <br />vice, maintenance or repairs) to be per - <br />your behalf; <br />formed by or on behalf of the additional <br />in the performance of <br />p Your ongoing <br />insureds at the location of the covered <br />insured(s) <br />operatons for the additional insured(s) at the <br />operations has been completed; or <br />location(s) designated above. <br />2. That portion of "your work" out of which <br />However: <br />the injury or damage arises has been put <br />t. The insurance afforded to such additional <br />to its intended use by any person or or- <br />insured only applies to the extent permit- <br />ganization other than another contractor <br />ted by law; and <br />or subcontractor engaged in performing <br />operations for a principal as a part of the <br />2. if coverage provided to the additional in- <br />same project. <br />sured is required by a contract or agree- <br />ment, the insurance afforded to such <br />additional insured will not be broader <br />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 <br />o Insurance Services Office, Inc., 2012 <br />Page 1 of 2 <br />REVIEWED BY: EUNICE HEREDIA (PACOF ) <br />
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