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POLICYNUMBER: WS383372 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 10 07 04 <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) <br />Or Organization(s): <br />Location(s) Of Covered Operations <br />City of Santa Ana, 20 Civic Center <br />City of Santa Ana, CA <br />Plaza, Santa Ana, CA 92701 <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 the person(s) or <br />organization(s) shown in the Schedule, but only with <br />respect to liability for "bodily Injury." "property <br />damage" or "personal and advertising injury" caused, <br />in whole or in part, by: <br />1. 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 the <br />additional insured(s) at the location(s) designated <br />above. <br />B. With respect to the Insurance afforded to these <br />additional insureds, the following additional <br />exclusions apply: <br />This insurance does not apply to 'bodily injury" or <br />"property damage" occurring after: <br />1. All work, including materials, parts or equipment <br />furnished in connection with such work, on the <br />project (other than service, maintenance or <br />repairs) to be performed by or on behalf of the <br />additional insured(s) at the location of the covered <br />operations has been completed; or <br />2. That portion of "your work" out of which the injury <br />or damage arises has been put to its intended use <br />by any person or organization other than another <br />contractor or subcontractor engaged in <br />performing operations for a principal as a part of <br />the same project. <br />By Risk M N &EMPP APPROVED <br />&OU620ki_ <br />FRANCINE R. VILLAREAL <br />CG 20 10 07 04 Copyright, ISO Properties, Inc., 2004 Page 1 of 1 <br />