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Attachment A — Sample Additional Insured Endorsement, Ongoing Operations POLICY NUMBER:— COMMERCIAL GENERAL LIABILITY CO 201010 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the Following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: The City of Rancho Cucamonga, It's Officers, Officials. Employees, designated Volunteers and agents serving as Independent contractors In the role of City Officials. (if no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Section 11 — Who Is An Insured is amended to (1) All work, including materials, parts or include as an insured the person or organization equipment furnished in Connection with shown In the Schedule, but only with respect to such work, on the project (other than liability arising out of your ongoing operations per- service, maintenance or repairs) to be fortned for that insured performed by or on behalf of the addi- B. With respect to the insurance afforded to these tional insured(s) at the site of the cov- additional insureds, the follmIng exclusion is ered operations has been completed, added: or 2. Exclusions (2) That portion of "your work'cul of which the injury or damage arises has been This Insurance does not a to "bodily inn PWY ty put to its intended use by any person or jury' or "property damage" occurring after: organization other than another con- tractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 201010 01 ® ISO Properties, Inc., 2000 e 1 fil l Y' don frtida[s PSA without professional liability insurance (contractor) Page 15 Lart Revised: 05122114 25E-20