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POLICYNUMBER: MP0004014001196 <br />COMMERCIAL GENERAL LIABILITY <br />CG20100413 <br />THIS ENDORSEMENT CHANCES 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 Insures! Person(s) I Location(s) Of Covered Operations <br />SANTA ANA, CA 92701 <br />20 CIVXC CENTER PLAZA <br />The City of Banta Ana, iro offioara, afificla s, <br />employees, and volunteers are to be oovorad an <br />add�tiondl insurada onthe CGL policy with respect to <br />liability arising cut of work or operations performed <br />by or on behalf of, the Contraotor inaluding materials <br />parts, equipment. furnished in connection with ouch <br />WOx1C or Operations <br />InformatfonrequIred to_compiete this Schedule, If not shown above, will be shown in the. Declarations. <br />A. Section II — Who Is An Insured is amended to <br />Include as an additional Insured the person(s) or <br />organization(s) shown in the Schedule, but only <br />with respect to liability for "bodily injury", "property <br />damage" or "personal and advertising Injury" <br />caused, 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 <br />the additional Insured(s) at the location(s) <br />designated above. <br />However: <br />1. The insurance afforded to such additional <br />insured only applies to the extent permitted by <br />law; and <br />2. If coverage provided to the additional Insured is <br />required by a contract or agreement, the <br />Insurance afforded to such additional Insured <br />will not be broader than that which you are <br />required by the contract or agreement to <br />provide for such additional Insured. <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 <br />equipment furnished In connection with such <br />work, on the project (other than service, <br />maintenance or repairs) to be performed by or <br />on behalf of the additional Insured(s) at the <br />location of the covered operations has been <br />completed; or <br />2. That portion of "your work" out of which the <br />Injury or damage arises has been put to its <br />Intended use by any person or organization <br />other than another contractor or subcontractor <br />engaged in performing operations for a <br />principal as a part of the some project. <br />CG 2010 0413 O Insurance Services Office, Inc., 2012 <br />Insured Copy <br />fl Risk Manag=w1 Division <br />REVIEWED & NPRGVED BY. <br />i <br />-.---- W Risk Management AnalyV <br />