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Additional Insured — Scheduled — Owners, Lessees or <br />Contractors — Broad Form <br />COVERAGE PART ONE — COMMERCIAL GENERAL LIABILITY <br />0 <br />ZURICH <br />Policy No. <br />Eft Urlc of Ped. <br />FXp. Date of Pul. <br />Eli Dde of End. <br />Braker <br />09967 000 <br />Add'I Prcm, <br />Raton Pmtn, <br />GPL 5435534-02;> <br />08/23/06 <br />08/23/07 <br />08/23/06 <br />None <br />Nonc <br />Named Insurrd and Mailing Address: <br />Curbside, Inc. <br />1160 N. Armando Street <br />Anaheim, CA 92806 <br />Broker: <br />Target Marketing Insurance Servicer <br />2500 Via Cabrillo Marina, #306 <br />San Pedro, CA 90731 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endomenient modifies insurance provided raider the following: <br />Environmental Services Package Policy <br />In consideration of the payment of premium and the Deductible by you and in relianrr. upon the statements in die Applit:utiun made a <br />part hereof, we agree with you, subject to all the tens, exclusions and conditions of the policy and with respect to COVERAGE <br />PA16' 0111: — COMMERCIAL GENERAL LIABILITY and the coverage provided by this endorsement that: <br />Schedule <br />Name of Person or Organizatinn: <br />THE CITY OF Santa Ana <br />Location address which Is the subject of the written contract: <br />THECITY OF Santa Ana <br />I. Who is an Insured (Section 1.) in the COMMON POLICY PROVISIONS is amended to include as an insured the person or <br />organization shown in the Schedule above whom you are required to add as an additioual insured on this policy under a written <br />Contract or written agreement. <br />2. The insurance provided to tht: additional insured applies only to "bodily injury", "property damage' or "personal and advertising <br />injury" covered tinder COVERAGE PART ONE — COMMERCIAL GENE ,AL LIABILITY COVERAGE. A - 110DILY <br />INJURY AND PROPERTY DAMAGE LIABILITY and COVERAGE 13 - PERSONAL AND ADVERTISING INJURY <br />LIABILITY, but only if: <br />a. The "bodily injury" or "property damage" results from your negligence; and <br />b. The "bodily injury", "property damage" or "personal and advertising injury" results directly frorn_ <br />(1) Your ongoing operations; or <br />(2) "Your work" completed as itwluded in the "products -completed operations hazard", performed for the additional insured <br />at the location designated and described in die schedule of this endorsement, which is the subject of the written contract <br />or written agrccmcnt- <br />Copyright ® 2005 by Zurich Insurance Company <br />STF-FSP-102-RCW(01/01 ) <br />Page 1 of 2 <br />All rigtts mverved. No part of this document covered by Clic copyrights hereon may be reproduced u, cupictl iu ony Cum by any means - graphic, electronic, or <br />mechanical, including photocopying, taping cr mfomatiott storage and retrieval systems - wilbnut wtittm permicsiun of the Zurich Insurance Company. <br />