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Additional Insure - Owners, Lessees or Contractors - Scheduled <br />Person or Organization - CG 20 10 04 13 <br />Policy Ameadment(s) Commercial General Liability <br />insured. ArNAMAGL trA:CInI , LW policy Number: DXJ80989376 <br />producer WOOD-GUTUMsr & BOGART xtas. Effective Date: 07/15/18 <br />Tins endorsement modifies insturance providedunder the following; <br />Commercial General Liability Coverage Part <br />Schedule <br />Name Of Additional InsuredPerrson(s) Or Organization(r) Local urns) Of Covered Operations <br />The City of Santa Ana, We officers, employees, agents, and representative <br />29 Civic Center Plaza, <br />Santa Ana, Califomia 92791 <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section It - Who Is An Insured is amended to 1 If coverage provided to the additional hssured <br />include as an additional insured the persons) or is required by a contract or agreement, the <br />organization(s) shown in the Schedule, but only insurance afforded to such additional insured <br />with resp"t to liability for bodily injury' property Will not be broader than that which you are <br />damage or personal and advertising injury caused, required by the contract or agreement to <br />in whole or in part, by: provide For such additional insured. <br />1. Your acts or emissions; 4r <br />1 'the acts or omissions of those acting on your <br />bebW-, <br />in the performance of your ongoing operations for <br />the additional iusu:ed(s) at the locmr on(s) <br />designated above <br />However. <br />1. `the insurance afforded to suchadditional <br />insured only applies to the extent permitted <br />by law, and <br />B. With respect to the insurance afforded to these <br />additional insureds, the foltdsvingo additional <br />exolasions apply: <br />This insurance does not apply to bodily Injury or <br />property damage occurring nffev <br />1, All work, including materials: parts or <br />equipment furuishod in connection with such <br />wort-, on the project (other than service, <br />maintenance or repahs) to be pmfermed by <br />or on behalf of the additional insured(s,) at the <br />location of the covered operations has been <br />completed:. or `, <br />Thk Fona mot be wtaohed to Changs Fadormwout when issaod after .tits poltcp is wx to a. p tQ 7 <br />One of the Fireum'AFund Insurmma Computes m unnuxi to the policy ,�Z,l V"4jJ ��\ <br />seemsey V <br />CWtol a 4.13 <br />0 Insur6rce SerrfcasQnce, Inc„ 412. <br />Page 1 of 2 <br />