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<br />o <br />"",,,-,",,U lUIUUI <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ CAREFUL!. Y <br /> <br />OCT-10-2005 13:48 <br />. -"-.1 .... <br /> <br />RON RISK SERVICES <br /> <br />P.04 <br /> <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - SCHEDULED PERSON OR <br />ORGANIZATION <br /> <br />( <br /> <br />This endotsell1ent modifies insurance provided under 1M fQIlow1ng: <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br /> <br />Name of Person or Organization; <br />The City of 8anlll Ana, its officers, aoenls, employees end vQlunle$rs <br /> <br />AOCOIAcooSIACCOSERll2023 <br /> <br />SeNi'" <br />ThiS Insurance applies .epanlle!y to eaoh Insured ~lnst whom oIaim is made or suit is brc<lgh Ql((:8pl . <br />\\lith r~Ptc;t to the oompany'$limiis .of liabUity. The inclusion of any penlOl'l or <Oyan~flan ~~ an lnsutOd <br />shell not ._ any dght whld1 such _ or org.nlzetion WOUld have aa a dalmant n not 110 Include<l. <br />(If no entry appe~rs above, information requlrtld to complete this endorseml!rlt will be shown in <br />the Declarations as applicable 10 this ~dorsemenl.) . . .' . <br /> <br />( <br /> <br />A. S'l(:tion" - Who Is An Insured is <br />amended to include the person or <br />organization shown in the Schedule, but <br />only with respect to liability arising out of <br />your ongoing operations performed for that <br />Insured. . <br /> <br />B. With respect to the Insurance afforded to <br />these additional Insureds, the following <br />exclusion Is added: <br /> <br />The person or organization does not qualify as <br />an adq(tionallnsured with respect to the <br />independent aels or omission!> of such person <br />or organization. The person or organization s <br />only an additional insured with respect to <br />liability caused by "your work" for that <br />additional insured at the location shown in the <br />Schedule. <br /> <br />2. Exclusions <br /> <br />This insurance does not apply to <br />.bodily injury" or .property damage" <br />occurring after: <br /> <br />(1) All work, including malerials, p~rts <br />or equipment furnished in connection <br />with <br /> <br />\ <br /> <br />such work, on the pnJject (other than <br />service, rnalntenanCll or repairs) to be <br />performed by or on behalf 'of the additional <br />insured(s) at the sIte ofthlll covered <br />ope1<ltlons has been completed; or <br /> <br />(2) That portion of ")our work" out of which <br />lhe Injury or damagEI arl$9S has been put <br />to Its Intended use by any person or <br />organization other ltlsn another contractor <br />or subcontractor ennaged in performing <br />operations for a prinCipal as a part of lhe <br />same project. <br /> <br />" <br /> <br />,"PROVED AS TO FORM <br /> <br />~5h <br />.,", a Stitt Sheedy <br />""Lant City Attorney <br /> <br />CG20101001 <br /> <br />Copyright, The Travel.... IndemnIty Company <br /> <br />TOTRL P.04 <br />