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<br />. <br /> <br />Pohcy Numb". CA000003653-05 <br /> <br />. <br /> <br />CG 20 10 07 04 <br /> <br />TIllS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />Et'b:llve D;Jle- 04/01105 <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 /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br />SCHEDULE <br /> <br />Name Of Additioncllnsured Pu.son(s) <br />Or On!.anization(s); <br /> <br />SEE BELOW <br /> <br />Location(s) Of Covered Operations <br /> <br />l <br /> <br />Informallon rc(]uired to cumDIc:tc thiS Schedule. if not ::>hnwn abuve, will be shown in the Ded:u':l.\luns. <br /> <br />I <br />l <br /> <br />A. Section II _ Who Is An Insured is amended to <br />Include as an addltion.J\ insured (he pers:.m(s) or <br />urganizalion(s) shown in the Schedule, but only with <br />respect to llablllly for "bodily injury", "property <br />damage" or "personal and advertising injury" caused, <br />in whole or in part, by: <br /> <br />1. Your acts or omission!>: or <br /> <br />2. The <leIs or llmission!> oj those acting on your <br />behalf: <br /> <br />In (he perll1rmancc 01 your ongoing operalmn:o. jor the <br />addllional insured(s) at the lncation(s) designated <br />above. <br /> <br />B. WIth respectlu the Insurance affmdel.l to the!>e <br />additiunal insureds. the following additional <br />exclu<;ions apply: <br /> <br />This insurOlncc docs nol :.lpply :0 '"bo(hly injury'. or <br />"property damage" llccurring ailer. <br /> <br />1. All work, including matt;f1.1Is, parts or cquipmcn: <br />furnished in connection WIth lou<.:h work, 011 the <br />project {other than serVice, maintenance or <br />repairs} to be performed by or on hchalf of thc <br />additionallnsuredCsl at tIlt: locatlon of l.'1e <br />covered operalions has been completed; or <br /> <br />2. ~rhal portion of .'yoUl' work (JUt ot which Int: <br />inJury or damage anses h.ls been put 10 Ib <br />inlr;=nded use by any perscn or orgLmiL.\tion otnel <br />lh<ln another contractor or subcontractor engaged <br />in performing operallllns for a principal as a pan <br />of the same prujet:l. <br /> <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, CA 92701: its officers, employees, agents, volunteers <br />and representatives are named as additional insureds with regards 10 liability and defense of suits arising from <br />the operations and uses performed by or on behalf of the named insured. <br /> <br />APPROVED AS TO FORM <br /> <br />}y~ 213 <br />LaJra SlltL Sheedy <br />i\~Slstant Ci\y Al\,-lrn"::\' <br /> <br />CG 20100704 <br /> <br />@ ISO Properties. Inc.. 2004 <br /> <br />Page I of J <br /> <br />o <br /> <br />