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<br />Mar 06 06 09:52a Tllagl <br />~ 03/06/2006 HON 9: 33 FAX 114 457 8131 Ptofessional. Choice <br /> <br />p.3 <br /> <br />1JJ003/003 <br /> <br />POLICY NUMBER: 6320019316 <br /> <br />COMMERCIAL GENERAL UABlUTY <br />CG 211101001 <br /> <br />THIS ENDORSEMENT CHANGES THE POUCY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - SCHEDULED PERSON OR <br />ORGANIZATION <br /> <br />This endorsement modHles insurance provided under the following: <br /> <br />COMMERCIAl GENERAlllABIUTY COVERAGE PART <br /> <br />SCHEDULE <br /> <br />Name of Person or Organization: <br />CITY OF SANTA ANA <br />PROJECT LOCATION: 1000 E. SANTA ANA BLVD. # 108 <br />1000 E. SANTA ANA.BLVD. # 108 <br />SANTA ANA, CA USA 92101-0000 <br /> <br />([f no entry lIPll6ars abo..., information required to complete Ihls endo"",ment will be shown in \he Declaralions <br />as applicable \0 this endorsement) <br /> <br />A. Section /I - Who Is An Insured is amended to <br />include as an insured the person or organization <br />s~own In !he Schedula. but only with r""pectto <br />liability arising OUl of your ongoing Operations <br />performed for that Insured. <br />B. \I\W1 respect to \he insurance afforded to these <br />additional insureds. the followillg exclusion is <br />added: <br />:t Exokl$lons <br />This insurance does not apply to 'bodily In- <br />jury' or "property damage' occurring after: <br /> <br />(1) All wolk, including materials, parts or <br />eqUipment furnished in connection <br />with such work, on the project (other <br />than service, maintenance or repairs) <br />to be performed by or on behalf of the <br />additional insured(s) at the site of the <br />co--,d operations has been com. <br />pleted; or <br /> <br />(2) That portion of '\four work" out 01 <br />which tho injury or damage ariSes has <br />been put 10 its intended use by any <br />person or organization other than an- <br />other contractor or subcontraotor en- <br />gaged in performing operations lor e <br />principal as.a part of the same project. <br /> <br />/68?/~ __h <br /> <br />CG20 10 1001 <br /> <br />@ ISO Properties, Inc., 2000 <br /> <br />Page 1 oft 0 <br /> <br />.-..d 0Jpy <br />