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<br />POUCY NUMBER: PPS33484198 <br /> <br />COMMERCIAL GENERAL L1ASlUTY <br />CG 20 10 07 04 <br /> <br />THIS ENDORSEMENT CHANGES THE POUCY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS SCHEDULED PERSON OR <br />ORGAN IZA TION <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br />This endorsement modifies insurance provided under the following: <br /> <br />SCHEDUL.E <br /> <br />Nlme Of AddltJonallnsured Person{.} ! <br />Or Organizatlon(.): L.ocation(.} Of Covered Operations I <br />THE CITY OF SANTA ANA <br /> ; <br />i Information l'flOuired to comolete this Schedule if not shown above Will be shown in the Declarations. <br /> <br />A. Secllon II - Who Ie An lnaured is amended <br />to Include as an additional insured the <br />penlDn(s) or organization(s) shown in the <br />Schedule, but only with respect to liability for <br />"bodily injury", 'property damage" or 'personal <br />and advertising injury' caused, in whole or in <br />part, by: <br /> <br />1. Your acts or omissions; or <br />2. The ecb; or omissions of llIose acting on <br />your behalf; <br /> <br />in the performance of your ongoing operations <br />fer the additional insured(s) at the Iocation(s) <br />designated above. <br /> <br />.. <br />,-' . <br /> <br />'" ,.......""'I!:r..-.~."':t' <br />, /........, 1. r_.' ..:....... ....1,,;1 <br /> <br />fi15 7/L ,..-- <br /> <br />..::: ~. ,l _ .....J,;' ,-. ' . ~ <br /> <br />B. With respect to the insurance afforded to <br />tllese additional insureds. the following <br />additional exclusions apply: <br /> <br />This Insurance does not apply 10 "bOdily <br />injury" or "property damaga" occurring after: <br /> <br />1. All work, including materials, parts or <br />equipment furnished in connection with <br />such werk, on tile project (other than <br />service, maintenance or repail'$) 10 be <br />performed by or on behalf of the <br />additionallnsured(s) at the iocation of the <br />covered operations has been completed, <br />or <br />2. That portion of "your work" out of which <br />the injury or damage arises has been put <br />to its in- tended use by any person or <br />organization other than anolller <br />contractor or subcontractor engaged in <br />performing operations for a principal as a <br />part of tl1e same project. <br /> <br />CG 2111007 04 <br /> <br />@ ISO Propertlea, Inc., 2004 <br /> <br />Page 1 of1 <br />