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MFR-01-2005 17:25 FROM:ISU CURRY RGENCY 6264495268 70:7142456190 P.3~4 <br />Policyl3nmber CA000003653-D4 CG 201010 O1 <br />Effective Aate: 04/0112004 <br />TSIS ENDORSEMENT C>;ANGES'f'HE POLICX. PI,EA.S& READ I7' CAREPUI.LX. <br />ADDITIONAL INSURED -OWNERS, LESSEES OR <br />CONTRACTORS -SCHEDULED PERSON OR <br />ORGANIZA'T'ION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GL'NERAI, LIAI)ILITY COVERAGE PART <br />SCHEDULE <br />Name of Berson or Organization: <br />(Ifno entry appears above, infam~ation required to complek this endorsciaxrd willbe shown in the Dcclarntions as applicable <br />to this endorse~at.) <br />A- Section II - Who D An L[s>Qed is amended>p <br />inctade as an insured the person or organization <br />shown in the Schedule, but only with respect to li- <br />ability arising out of yew' ongoing operations per- <br />farmed for that insured. <br />B. With respect ro the ins~uance afforded to these addi- <br />tional itx[weds. the foliowiag exclusion is added: <br />Z. E:clusims <br />This insurance does not apply m "bodily mjmy" or "pmp- <br />ertydamage" ocet[rring after: <br />(1) All work, inchtdiag materials, Parts or equipment <br />fiunislwd in concretion with such work, On the proj- <br />ec[ (ocher than service, maintenance or repairs) ro be <br />performed by or an behalf of the additional in• <br />sured(s) at the site of the covered opeeatimis bas <br />bear cmt~pleted; or <br />(2) That portion of"yma woxlc" out of which the injury <br />oc damage arises lies been pot to its irrtendrd rate by <br />any person or organisation other flian another coo- <br />tractor ar subcontractor engaged in perfomsit[g op- <br />erationsfor aprincipal as apart ofthe same project <br />APPROVED AS TO FORM <br />Z ~~_ <br />Laura Stitt eedy <br />Assistant City Attorney <br />CG 201010 01 ®ISO Properties, Tne., 2000 Page 1 of 1 O <br />