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<br />POLICY NUMBER: 6320019376 <br /> <br />COMMERCIAL GENERAL UABIUTY <br />CG20101001 <br /> <br />THIS ENDORSEMENT CHANGES THE POUCY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - SCHEDULED PERSON OR <br />ORGANIZATION <br /> <br />This endorsement modifies tnsurance provided under the following; <br /> <br />COMMERCIAL GENERAL liABILITY COVERAGE PART <br /> <br />SCHEDULE <br /> <br />Name of Person or Organization: <br />CITY OF SANTA ANA <br />PROJECT LOCATION: 1000 E. SANTA ANA BLVD. # lOa <br />1000 E. SANTA ANA.BLVD. # lOB <br />SANTA ANA, CA USA 92701-0000 <br /> <br />(If no entry appears abo...., information recjuired to complete this endorsement will be shown in the Declarations <br />as appljcabJe to this endorsement.) <br /> <br />A. SectIon II - Who Is An Insured is amended to <br />include as an insured the persr>n or organization <br />Shown in the Schedule, but only with respecl to <br />liability arising out of your oogolo.9 operations <br />performed for that Insured. <br /> <br />B. VWh respect to the insurance afforded to these <br />additional insureds, the following exclusion is <br />edded: <br /> <br />2. Exclusions <br /> <br />Tills insurance does not apply to "bod~y in~ <br />jury" or 'property damage" occurring after: <br /> <br />(1) All work, Including materials, parts or <br />equipment furnished In connection <br />with such work, on the project (other <br />1han service, maintenance or repairs) <br />to be pertormed by or on behalf of the <br />addiUonal insured( s) 8tlhe site of !he <br />covered operations has been com- <br />pleted; or <br /> <br />(2) That portion of 'Your work" out ot <br />Which the injury or damage arises has <br />been put to its intended use by any <br />person or organization other than an~ <br />other contractor or subcontractor en. <br />gaged in performlng operations for a <br />principal as ,a part of the same project <br /> <br />i, ,,. <br /> <br />!ro:~ . <br /> <br />CG20101001 <br /> <br />@ ISO Properties. Inc., 2QOC) <br /> <br />Page 1 oll <br /> <br />o <br /> <br />nlM..dC!lpy <br />