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'. Named Insured: PRG Insurance Staffing dba: West Coast Insurance Consultants POLICY NUMBER: H67P052504 COMMERCIAL GENERAL LIABILITY CG20 10 1001 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: City of Santa Ana. it's officers, agents, employees, representatives and volunteers 20 Civic Center Plaza PO Box 1988 Santa Ana, CA 92702 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement). A. Section II - Who is an Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your on90in9 operations performed for that insured. B. With respect to the insurance afforded to these additional insured, the following exclusion is added: 2. Exclusions This Insurance does not apply to "bodily in- jury" or "property damage" occurring after: (1) All work, inclUding matarials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the add'l- tional insured(s) at the site of the cov- ered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another con- tractor or subcontractor engaged In performing operations for a principal as a part of the same project. APPROVED AS TO FORM I\J::'I~I,J1H ;_->1'L> i''''''lCV CG 20 10 10 01 @ ISO Properties, Inc. 2000 Page 1 of 1 0