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<br />!'r+ l~. ':,:0'. ~(;AV <br /> <br />_A~: .~ kA\~: A~:\CV <br /> <br />POLICY NUMBER' SCP06H371 <br /> <br />\' c. ~:,:' L 1 <br /> <br />) <br /> <br />COMMERCIAL GENERAL LIABILITY <br />CG20100704 <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 modlftes Insurance provided undar the following. <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br />SCHEDULE <br /> <br /> Nama of Additional Insured Person's) <br /> Or Ooanlzal/of){& Locallon(s) of Covered Operations <br />Ci ty of Santa ima 2215 N. Broadway <br />P.O. Box Bee Santa Anal CA 92705 <br />Santa. An<J., CA 92702 <br />Inlormation rllC[uired to complete this Schedule. if not shown above. will be shown in the Declarations. <br /> <br />A. Section II - Who Is An Insured Is amended to in- <br />clude as an additional Insured the person(s) or or. <br />ganlzatlon(s) shown in the Schedule, bUI only with <br />respect to liability for "bodily Injury", "property dam. <br />age" or "personal and advertising injury" caused. in <br />whole or In part. by <br /> <br />, - Your acts or omissions; or <br /> <br />2 The acts or omissions of those acting on your <br />behalf; <br /> <br />In the performance of your ongoing operations for <br />the additional insured(s) at the location(s) desig. <br />nated above. <br /> <br />'\-) <br />'V~ <br />..--lY <br />u <br /> <br /> <br />~,\G''..-' .' <br />~ \:,X'L~ <br />. \s~ 'C;s," . \ <br />. ","- or. L{ ) <br />@ <br /> <br />CG20100704 <br /> <br />B. With respect to the insurance afforded to these ad- <br />ditional 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 /> <br />1. All work. inClUding materials. parts or equip- <br />ment furnished in connection with such work, <br />on the project (other than selVice. mainte- <br />nance or repairs) to be performed by or on be. <br />halt of the addItIOnallnsured(s) at the location <br />of the covered operations has been com. <br />pleted; or <br /> <br />2 That portion of "your work" oul of which the In- <br />Jury or damage arises has been put to its <br />Intended use by any person or organization <br />other than another contractor or subcontractor <br />engaged in performing operations for a princi. <br />pal as a part of the same project. <br /> <br />Copyright, ISO Properties. Inc. 2004 <br />INSURED <br /> <br />Page 1 of 1 <br /> <br />