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<br />09/07/2005 15:57 <br /> <br />5305252539 <br /> <br />ISU ATWOOD AGENCY <br /> <br />PAGE 03/03 <br /> <br />POLICY NUMBER: <br /> <br />COMMERCIAL GENERAL L1ABIUlY <br />CG20101D01 <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - SCHEDULED PERSON OR <br />ORGANIZATION <br /> <br />This endorsemellt modifies insurance provided under the follOWing; <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br />SCHEDULE <br /> <br />Name of Person or Organization: <br /> <br />City of Santa ADa <br />20 Civic Center Plaza, Santa Ana, CA 92702 <br /> <br />(If no entry appears above, information required to complete this elldorsemellt will be shown in the Declarations <br />as applicable to this elldorsement.) <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 inSureds, the fOllowing eXClusion is <br />added: <br /> <br />2. ElO;Clusions <br /> <br />This insurance does not apply to .bodlly in- <br />JUry" or .property damage" occurring after: <br /> <br />(1) All work. Including materials, parts <br />or equipment furnished in <br />connection with such work, on the <br />project (other than service, mainte- <br />nance or repairs) to be performed <br />by or on behalf of the additional in- <br />SUred(s) at the site of the covered <br />Operations has been completed; or <br /> <br />(2) That portion of "your work" out of <br />which the Injury or damage arises <br />has been put to its intended use by <br />any person or organization other <br />than another contractor or subcon- <br />tractor engaged in performing op- <br />erations for a principal as a part of <br />the same project. <br /> <br />\. <br /> <br />L,",_ ' <br /> <br /> <br />.'--'- <br /> <br />.], t <br /> <br />CG 20 10 fO Of <br /> <br />(llISO Properties. Ine.. 2000 <br /> <br />PaOli 1 of 1 <br />