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<br />POLICY NUMBER: GEC000340606 <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 modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br />SCHEDULE <br />[ --Nam~Of AdditionallnsuredP~;;~n(s)--~------- '-''''' - ----"1 <br /> <br />;i~Y of ,~~'~:';o.') - - -t Al-;- =~~""'.~~O~.i:~1 <br /> <br />I Public Works Agency Santa Ana, its officers, ' <br />Attn: Joe Parco employees, agents, volunteers and <br /> <br /> <br />l::::o~:~::::;:~o:<..~~:~~:;,;:~~~~~::~J <br /> <br />A. Section 1\ . Who Is An Insured is amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only <br />with respect to liability for "bodily injury", "property <br />damage" or "personal and advertising injury" <br />caused, in whole or in part, by: <br />1. Your acts or omissions; or <br />2. The acts or omissions of those acting on your <br />behalf; <br />in the performance of your ongoing operations for <br />the additional insured(s) at the location(s) desig- <br />nated above_ <br />B. With respect to the insurance afforded to these <br />additional insureds, the following additional exclu- <br />sions apply: <br /> <br />This insurance does not apply to "bodiiy injury" or <br />"properly damage" occurring after: <br />1. All work, including materials, parts or equip- <br />ment furnished in connection with such work, <br />on the project (other than service, mainte- <br />nance or repairs) to be performed by or on <br />behalf of the additional insured(s) at the loca- <br />tion of the covered operations has been com- <br />pleted; or <br />2. That portion of "your work" out of which the <br />injury or damage arises has been put to its <br />intended use by any person or organization <br />other than another contractor or subcontrator <br />engaged in performing operations for a <br />principal as a part of the same project. <br /> <br />PRIMARY INSURANCE: <br />IT, IS UNDERSTOOD AND AGREED THAT THIS INSURANCE IS PRIMARY <br />AND ANY OTHER INSURANCE MAINTAINED BY THE ADDITIONAL INSURED <br />SHALL BE EXCESS ONLY AND NOT CONTRIBUTING WITH THIS <br />INSURANCE_ <br /> <br />SEVERABILITY OF INTEREST: <br />IT IS AGREED THAT EXCEPT WITH RESPECT TO THE LIMIT OF INSURANCE, THIS <br />COVERAGE SHALL APPLY AS IF EACH ADDITIONAL INSURED WERE THE ONLY INSURED <br />AND SEPARATELY TO EACH INSURED AGAINST WHOM CLAIM IS MADE OR SUIT IS <br />BROUGHT. <br /> <br />CG 20 10 07 04 <br /> <br />~ 3~pyright, ISO Properties, Inc., 2004 <br /> <br />Page 1 of 1 <br />UNIFORM <br /> <br />