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POLICY NUMBER: PPS33484198 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 10 O7 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <br />ADDITIONAL INSURED -OWNERS, LESSEES OR <br />CONTRACTORS SCHEDULED PERSON OR <br />ORGAN IZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL L1A81LITY COVERAGE PART <br />Name Of Additional Insured Person(s) Location(s) Of Covered Operations <br />+ Or Organizations): <br />THE CfTY OF SANTA ANA <br />Information required to <br />A. Section II -Who Is An Insured is amended <br />to include as an additional insured the <br />person(s) or organization(s) shown in the <br />Schedule, but only with respect to liability for <br />"bodily injury", "property tlamage" or "personal <br />and advertising injury° caused, in whole or in <br />part, by: <br />1. Your acts or omissions; or <br />2. The acts or omissions of those acting on <br />your behalf; <br />in the pertormance of your ongoing operations <br />for the additional insureds) at the location(s) <br />designated above. <br />,. ~ _• - - - <br />~ ziz - <br />B. With respect to the insurance afforded to <br />These additional insureds, the following <br />additional exGusions apply: <br />This insurance does not apply to "bodily <br />injury" or "property damage" occurring after: <br />1. RII work, including materials, parts or <br />equipment furnished in connection with <br />such work, on the project (other than <br />service, maintenance or repairs) to be <br />pertormed by or on behalf of the <br />additional insureds) at the location of the <br />covered operations has been completed; <br />or <br />1. That portion of "your work" out of which <br />the injury or damage arises has been put <br />to its in- tended use by any person or <br />organization other than another <br />contractor or subcontractor engagetl in <br />performing operations for a principal as a <br />part of the same project. <br />CG 20'10 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 <br />