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, Additional Insured - Scheduled - Owners, Lessees or Contractors - Broad Form COVERAGE PART ONE - COMMERCIAL GENERAL LIABILITY ~ ZURICH Poli.:yNo. Efr Dale of PoL E;.;p. nate of Pol. Ef( Diltt:ofEnd Broker Add'l Prcm. ReturnPrem. .~--~ None None GPL 5435554~D1:> 08/23f06 08/23/07 08123/1)6 09967-000 Named Insurl'd and M~mng Address: Curbside, Inc. il60 N. Armando Street Anaheim, CA 92806 Broker: Target Marketing Iosurance Servl4;:cs 2500 Via CabriIlo Marina, #306 San Pedro, CA 90731 TillS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following; Environmental Services Package Policy In consideration of the payment of premium and the Deductible by you and in reliance upon the statements in the Application made a part hereof, we agree with you, subject to all the tenns, exclusions and conditions of the policy and with respect to COVERAGE PART ONE - COMMERCIAL GE~ERAL LIABILITY and the coverage provided by this endorsement that: Schedule Name of Person or Organization: THE CITY OF Santa Ana Location address which is the subject of the written contract: THE CITY OF Santa Ana 1. Who is an Insured (Section I.) in the COMMON POLICY PROVISIONS is amended to include as an insured the person or organization shown in the Schedule above whom you are required to add as au additional insured on this policy under a written contract or written agreement. 2. .rne insurance provided to th~ additional insured applies only to "bodily injury", "property damage" or "personal and advc!1ising injury" covered tinder COVERAGE PART ONE - COMMERCIAL GENERAL LIABILITY COVERAGE A _ BODILY INJURY AND PROPERTY DAMAGE LIABILITY and COVERAGE B - PERSONAL AND ADVERTISING INJURY LIABILITY, but only if: 3_ The "bodily injury" or "property damage" results. from your negligence; and b. The "bodily injury", "property damage" or "personal and advertising injury" results directly from: (1) Your ongoing operations; or (2) "Your work" completed as jlldutl~d in the "products-completed operations hazard", performed for the additional insured nt the location designakd and described in the schr:dule of this endorsement, which is the subject of the written contract or written agreement Copyright \C 1005 by Zurich Insurance Company STF-E"P-l()2.R r.W(Oltn'::) P:lge I of2 All rights n:~~rvcu. No part of this document covered by the copyrights hereon m;!y be reproduced UJ copied ill ,my rUml uy any means _ gmphic. electronic, or meclJanical. including photocopying, tapmg or information stor.lgc llnd rc:tricval systems. without wrill~1l pl,nni<;sion uflfle Zurich lnstmmcc Company. ~2)1 /\