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THESE POLICY FORMS AND THE APPLICABLE RATES <br />EXEMPT FROM THE FILING REQUIREMENTS OF THE NEW YORK <br />INSURANCE LAW AND REGULATIONS. HOWEVER, THE FORMS AND RATE; <br />MUST MEET TI-IE MINIMUM STANDARDS OF THE NEW YORK INSIIRANCI <br />LAW AND REGULATIONS. <br />ADDITIONAL INSURED —OWNERS, LESSEES OR <br />CONTRACTORS — COMPLETED OPERATIONS <br />Nmacd mrunal <br />Cantonal: Corporation <br />nhaaY80I14111Nuokbor <br />P411aySytnhol <br />XSL <br />falbyNridibu <br />CS72as042a <br />P4 YPcr <br />12/pl(2021 to 12/0112022 <br />5t va n4td:d aiq.orywnanl <br />121QU2p21 <br />0y (Ngma of h+eurnucd Cbnfppny} <br />AOCI American Insurance Company <br />AO <br />imonilia pulley unlnitun Too rarnulddar aras, ltlarrnualim Is to bo complelod onlywhisidds andonamisia Is Issued subiquent to. the pnpsrtidueof Ilia policy. <br />THIS ENDORSEMENT CHARGES THE POLICY, PLEASE REAM IT CAREFULLY, <br />This. Endorsement iuodifics insurance provided under the following: <br />EXCESS COMMERCIAL OENEItALLIABILITY POLICY <br />SCHEDULE <br />Name Of Additlonal insured. Person(a) I Location And Description Of Completed Operations: <br />City of Santa Ana, officers, officials, <br />agents;_ employess; and volunteers. <br />A, Section 11 - Who Is An Insured is amended to include as an additional insured the persons) or organize- <br />tion(s) shown in pie Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, <br />in whole or In part, by "your work" at the location designated and described In the Schedule of this cndorsc- <br />ment parrormed for (lint additional insured and included in the "products•comploted operations hazard". <br />However: <br />I. The insurance afforded to such additional insured only applies to the extent permitted by law; and. <br />2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afford- <br />cd to such additional insured will not be broader than that which you are required by the contract or <br />agreement to provide for such additional insured, <br />a sr REVIEWED&APPROVED Y' <br />T1d"e yp si" <br />Risk Management Analyst <br />„Y � <br />