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<br />.' ' <br /> <br />. <br /> <br />Named Insured: <br />POLICY NUMBER: <br /> <br />PRG Insurance Staffing, Inc, <br />H67-1000470 <br /> <br />COMMERCIAL GENERAL LIABILITY <br />CG20101001 <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - SCHEDULED PERSON OR <br />ORGANIZATION <br /> <br />Thi5 endorsement modifies insurance provided under the following: <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br />SCHEDULE <br /> <br />Name of Person or Organization: City of Santa Ana <br />20 Civic Center Plaza (M-41) <br />PO Box 1988 <br />Santa Ana, CA 92702 <br /> <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as <br />applicable to this endorsement). <br /> <br />A Section II - Who is an Insured is amended to <br />include as an insured the person or organization <br />shown in the Schedule, but only with respect to <br />liability arising out of your ongoing operations <br />performed for that insured. <br /> <br />B. With respect to the insurance afforded to these <br />additional insured, the following exclusion is <br />added: <br /> <br />2. Exclusions <br /> <br />This insurance does not apply to "bodily in- <br />jury" or "property damage" occurring after: <br /> <br />(1) All 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 />performed by or on behalf of the addi- <br />tional insured(s) at the site of the cov- <br />ered operations has been completed; <br />or <br /> <br />(2) That portion of "your work" out of which <br />the injury or damage arises has been <br />put to its intended use by any person or <br />organization other than another con- <br />tractor or subcontractor engaged in <br />performing operations for a principal as <br />a part of the same project <br /> <br />APl'h.u Ii iD A;) HJ <br /> <br />. " <br /> <br />~2/L <br /> <br />Latira SI \1 (;- ~<dy <br /> <br />-",l.' 1;:,.1 <br /> <br />CG20101001 <br /> <br />@ ISO Properties, Inc. 2000 <br /> <br />Page 1 of 1 D <br />