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<br />i -. ... <br /> <br />.~., <br />~ "I <br />Lj <br /> <br />POLICY NUMBER: 6320019376 02 <br /> <br />!"'-} <br /> <br />COMMERCIAL GENERAL UABIUTY <br />. I.G CG20 100206 <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 INCLUDING PRIMARY COVERAGE <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br />This endorsement modifies insurance provided under the followIng: <br /> <br />SCHEDULE <br /> <br />Name of Person(s) or Organlzation(s)j LOcatior~s)of cowred o~rations; Additlonallnsured(s) Address: <br /> <br />CITY OF SANTA ANA <br />RE; 1000 E. SANTA ANA BLVD, SANTA ANA, CA 92701 <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br /> <br />(If no entry appears above, information required to complete this schedule, [f not shown above, will be shown in . <br />the Dedarations.. <br /> <br />A Section IJ. Who Is An Insured is amended Ita <br />include as an insured the person(s) or org;3fliza- <br />tion(s} shown in the Schedule, but only wHh re- <br />spect to liability for "bodily injury", "property darn- <br />. age" or "personal and advertising injury" caused, <br />in whole or in parI, by; <br /> <br />1. Your acts or omissions; or <br /> <br />2. The.acts or omissions of those acting on <br />your behalf; <br /> <br />in the performance of your ongoing operations <br />for the additional insured(s} at the location(s) <br />designated above. <br /> <br />B. With respect to the insurance afforded to these <br />addllionaJ insureds, the following exclusions ap- <br />ply: <br /> <br />This insurance does not apply to "bodily injury" <br />or .property damage" occurring after: <br /> <br />(1) All work, including materials, parts or <br />equipment furnished in connection with <br />such work, on the project (other than ser- <br />vice, maintenance or repairs) to be per- <br />formed by Or on behalf of the additional <br />insured{s) at the location of the covered <br />operations has been completed; or <br /> <br />(2) That portion of ''your work" out of which <br />the injury or damage arises has been put <br />to its intended use by any person or or- <br />ganization otherlhan another contractor <br />~. engaged in performing operations for a <br />. / principal as part of the same project. <br /> <br />. . The insurance afforded by the policy to the Addi- <br />/ tionallnsured{s) listed inlhe Schedule for the de- <br />scribed locetion{s) is primary insurance. Any other <br />insurance or self-insurance maintained by the Addi- <br />tionAl Insured(s) is excess of this insurance and <br />shall not contribute to it.. <br /> <br />LGCG20100206 <br /> <br />Contains Copyrigt:lted Material of the Insurance Services Office. Ine <br />2004 . <br /> <br />Page 10f 1 0 <br /> <br />1/0 L{ L <br /> <br />E.d <br /> <br /> <br />PrMIlf"''''r r..nn-., <br /> <br />r~ell.1 <br /> <br />dSE:GO LO 60 ~ew <br />