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<br />.... ~. <br /> <br />POLICY NUMBER OL81463704 <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 moclifies insur2Ince provided under the following" <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br />SCHEDULE <br /> <br /> Name of Additional Insured Person(s) Location(sl of Covered ODerations <br /> Or Onanizationls\ <br />CITY (IF :..iA'\JTA AN;'. Bl:I LlJ:LNG MAINTE:NANCE RE: ~LSCTRICAL WORK <br />DIV. 20 CIVIC C'ENTIo.;R PLAZA <br />20 C:::\TjC CENTER F LAZP-. SANTA ANA, CA 92702 <br />FO BOX 1909 <br />SANTA ANA, c;; 92702 <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br /> <br />'- <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 service, mainte- <br />nance or repairs) to be performed by or on be- <br />half of the additional insured(s) at the location <br />of the covered operations has been com- <br />pleted; or <br /> <br />2. That portIon of "your work" out 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 />It is further agreed that this insurance shall be primary and non-contributory but only in the event of the Named Insured's <br />sole Negligence. <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 />ganization(s) shown in the Schedule, but 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 />1. 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 /> <br />CG 20 100704 <br /> <br />Copyright, ISO PrDperties, Inc., 2004 <br /> <br />Page 1 of 1 <br />