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<br />J . <br /> <br />POLICY NUMBER: GEC000340607 <br /> <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 100704 <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 />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br />SCHEDULE <br /> <br />Name Of Additional Insured Person(s) -r- --l <br />Or Organzlation(s): __~_--=--=- ~ocation(s) Of Covered Operations I <br /> <br />r;i~y of Santa Ana, M-93 i Ref:#8586. The City of S~ <br />I ~ttn: Nasser I Ana, its officers, employ~~;;. I <br />I 20 Civic Center Plaza - agents, volunteers and I <br />: Santa Ana, CA 92702 representatives are additional ~ <br />i I insureds. ' <br /> <br />llnform-":t~q-';;r;;;;t;, complete this Scl1ed~~t shown ebove, will be shown in the Declarations. --J <br /> <br />A. Section II - Who Is An Insured is amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only <br />with respect 10 liability for "bodily injury". "property <br />damage" or 'personal and advertising injury" <br />caused, in whole or in part. by: <br />1. Your acts or omissions; or <br />2. The acts or omissions of those acting on your <br />behalf; <br />in the performance of your ongoing operations for <br />the additional insured(s) at the location(s) desig- <br />nated above. <br />B. With respect to the insurance afforded to these <br />additional insureds, the following additional exclu- <br />sions apply: <br /> <br />This insurance does not apply to "bodily injury" or <br />"property damage" occurring after: <br />1. All work; including materials, partsor equip- <br />ment furnished in connection with such work, <br />on the project (other than service, mainte- <br />nance or repairs) to be performed by or on <br />behalf of the additional insured(s) at the loca- <br />tion of the covered operations has been com- <br />pleted; or <br />2. That portion of .your work" out of which the <br />injury or damage arises has been put to its <br />intended use by any person or organization <br />other than another contractor or $ubcontrator <br />engaged in performing operations for a <br />principal as a part of the same project. <br /> <br />PRIMARY INSURANCE: <br />IT IS UNDERSTOOD AND AGREED THAT THIS INSURANCE IS PRIMARY <br />AND ANY OTHER INSURANCE MAINTAINED BY THE ADDITIONAL INSURED <br />SHALL BE EXCESS ONLY AND NOT CONTRIBUTING WITH THIS <br />INSURANCE. <br /> <br />CG 20 10 07 04 <br /> <br />~ 2)2- <br /> <br />Copyright, ISO Properties, Inc., 2004 <br /> <br />Page 1 of 1 <br />UNIFORM <br /> <br />