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POLICY NUMBER: W8383372 <br />COMMERCIAL GENERAL LIABILITY <br />CC 20 15 07 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <br />R MGM, ... <br />This endorsement modifies Insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) Or <br />Organization(s)(Vendor) Your Products <br />City of Santa Ana, 20 Civic Centex City of Santa Ana, CA <br />Plazq, Santa Ana, CA 92701 <br />j� <br />E <br />I <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 <br />as an additional Insured any person(s) or <br />organlzation(s) (referred to below as vendor) shown In <br />the Schedule, but only with respect to "bodily Injury" or <br />"property damage" arising out of "your products" <br />shown In the Schedule which are distributed or sold In <br />the regular course of the vendor's business, subject to <br />the following additional exclusions: <br />1. The Insurance afforded the vendor does not apply <br />to: <br />d. Repackaging, except when unpacked solely for <br />the purpose of inspection, demonstration, <br />testing, or the substitution of parts under <br />instructions from the manufacturer, and then <br />repackaged in the original contalner; <br />o. Any failure to make sure Inspections, <br />adjustments, tests or servicing as the vendor <br />has agreed to make or normally undertakes to <br />make In the usual course of business, In <br />connection with the distribution or sale of the <br />products; <br />a. "Bodily Injury" or "property damage" for which <br />the vendor Is obligated to pay damages by f. Demonstration, Installation, servicing or repair <br />reason of the assumption of liability in a operations, except such operations performed <br />`- contract or agreement," This -exclusion -does not -- at the vendor's premises in connection with the - - <br />apply to liability for damages that the vendor sale of the. product; <br />would have In the absence of the contract or <br />agreement; g. Products which, after distribution or sale by <br />YOU, have been labeled or relabeled or used as <br />b. Any express warranty unauthorized by you; a container, part or Ingredient of any other thing <br />or substance by or for the vendor; or <br />c. Any physical or chemical change in the product <br />made intentionally by the vendor, REVIEWED & APPROVED <br />By Risk MANAGEMENT f)ivlsloN <br />%10 6 019 <br />FRANCINE R. VILLAREAL <br />CG 20 13 07 04 Copyright, ISO Properties, Inc., 2004 Page 1 of 2 <br />