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Polity Number 6667964S746M <br />Named Insured. Singh. A. J. CBA Sign.A.Rama <br />CG2015 1168 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADIDIf IONAL INSIJRED - VEN0ORS <br />This endoesamani modifies k1suranoa prgvidad unuler the fgllw ing. <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br />P R OO Il CTSiCOM PL ETED OPE RAT ION LIABILITY COVERAGE PART. <br />SCHEDULE <br />Name of Parson or drgairarptlpn lVondorj: <br />C;ty of Santa Ana, Its officers, agents, and emplaygas <br />Zit Civic Center Plaza <br />Santa Ana, CA 927D1 <br />fid no entry appears above, infarmatlbn reg4lifed to complete this endorsement w111 be shown 1n <br />tha Declarations as applicable to (tis endorsement.) <br />WHO IS AN INSURED fSaction lly Is amended io repackaged in line original corllvfw <br />nduce a� aR.ir,ur47W) <br />ran cr SrIzA11d t An Idlslfi b ngl a_st#1 inspecGan, <br />(refereed g'ppya.own i 6rs' �surrll0 ty fir_se� ng as the <br />Sohedul�twt t nJbrPxopenti�mage'"shaven�n'llth�' gcefrit.,Ora a o4 (`bu ea raC aCls�lnedi'stdbUlldn <br />S810 m 1hr} rggidar.st7 yi t�fB <br />gubJect tc the follov�ing eddlianar exclusluns f, �emnnsWairorl.-lnstaiiiRgriad+vlcing pr <br />Npoir operallon5, except Such oper Dons <br />1. The insurance afforded the vendor doe's not performed at the vendor's premises in <br />apply 10 oannection with the sale of the PxbdUct.; <br />a. -Bedify injury' or'propeirly damKe For q_ Products which, alter dletribullos of Sale bV <br />which the vendor is obligaled to pay you, have been labeled or re-0abe!'W or used <br />oamages by ren%on or the owumptlon or as ® coniainor. earl or ingredien[ all any other <br />lyb ltty rn y oorrlrA�or agrewrwnl. TN& I.Nng or sabelandAe by or for the vandor. <br />escluglon doe's notappy to liability for <br />48rnage2 that the vandorwould have in ri <br />absence of the conlr t or agreement: <br />4. Any express warranty unaulltorized by you: <br />c. Any physical 0r chemical change in the <br />products mogi dntenr on ally by the vendor, <br />d. Repackap ing, uMeet unpackeed loteiy for the <br />purpose al insoWlca. deincow bon, <br />lasting, 5r the suloslifulion of parts under <br />. nslruoicel % from the rnanufacturar. and U,.en <br />2 This insurance doom nC1 apply [o any neared, <br />parson or organization from Whom ycv have <br />acqui rod suCh products, or any Ingredient, part <br />or writalner. entering Into. aCCompamyarig or <br />containing such products. <br />CQj04 11 §¢ CaooglhL lrawanc% 5sMloes 4rrcc. lrK, 1986 1988 <br />