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9014 r4rd 09 to] Lh 140 -1kael IV-*] Lh I Lh IQ 11MG] V-11 WCJQ 09 IQ 0 4 V-11 1.114 1 WKV-01TVA lIM-IT-0:11111 9-11 11MI SCHEDULE Name Of Additional Insured Person(s) Or OLganization(s) Location(s) Of Covered Operations City of Santa Ana, its officers, employees, agents, Any Location volunteers and representatives. Risk Management Division 20 Civic Center Plaza, M-28 P.O. Box 1988 Santa Ana, CA 92702 Information required to comelete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. 1. The insurance aAorded to such additionM insured only applies to the extent permitted by law; and coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 11ith respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 12 19 C Insurance Services Office, Inc., 2018 RAMwagmedDMsiun z5K a REVIEWED & APPROVED BY. - Is Wld Risk Management Analyst .................................................