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CALIFORNIA, STATE OF EMPLOYMENT DEVELOPMENT DEPARTMENT
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CALIFORNIA, STATE OF EMPLOYMENT DEVELOPMENT DEPARTMENT
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Last modified
11/23/2021 9:29:01 AM
Creation date
2/14/2020 4:11:42 PM
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Contracts
Company Name
CALIFORNIA, STATE OF EMPLOYMENT DEVELOPMENT DEPARTMENT
Contract #
A-2019-070-07
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
5/7/2019
Expiration Date
6/30/2020
Destruction Year
2025
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POLICY NUMBER: CIP351907001 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 10 04 13 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <br />11 <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) <br />Or Organization(s) <br />I <br />Location(s) Of Covered Operations <br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES <br />AGENTS AND VOLUNTEERS <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92702 <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 in- <br />clude as an additional insured the person(s) or or- <br />ganizations) shown in the Schedule, but only with <br />respectto liability for "bodily injury", "property dam- <br />age"or "personal and advertising injury" caused, in <br />whole or in part, by: <br />I. Your acts or omissions; or <br />2. The acts or omissions of those acting on your <br />behalf; <br />in the performance of your ongoing operations for <br />the additional insured(s) at the locations) deslg- <br />nated above, <br />However: <br />1. The insurance afforded to such additional in- <br />sured only applies to the extent permitted by <br />law; and <br />2. If coverage provided to the additional insured <br />is required by a contract or agreement, the in- <br />surance afforded to such additional insured <br />will not be broader than that which you are re- <br />quired by the contract or agreement to provide <br />for such additional insured. <br />CG 20 10 04 13 <br />B. With respect to the insurance afforded <br />additional insureds, the following additior <br />sions apply: <br />This insurance does not apply to "bodily <br />"property damage" occurring after: <br />1. All work, including materials, parts i <br />ment furnished in connection with su <br />on the project (other than service, <br />nance or repairs) to be performed <br />behalf of the additional insured(s) at <br />tion of the covered operations has bf <br />plated; or <br />2. That portion of "your work' out of v <br />injury or damage arises has beer) I <br />intended use by any person or org <br />otherthan another contractor orsubc <br />engaged in performing operations for <br />Pal as a part of the same project. <br />Copyright, Insurance Services Office, Inc., 2012 <br />these <br />exclu- <br />iry" or <br />equip - <br />work, <br />rainte- <br />or on <br />Ioca- <br />com- <br />;h the <br />to its <br />zation <br />racto r <br />p rinc i. <br />K <br />ip <br />
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