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POLICY NUMBER: PAS 41150534 COMMERCIAL GENERAL LIABILITY <br />CG 20 10 07 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED -OWNERS, LESSEES OR <br />CONTRACTORS -SCHEDULED PERSON OR <br />ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name of Person or Organization: <br />City of Santa Ana <br />Location(s) of Covered Operations: <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations <br />as applicable to this endorsement.) <br />A. Section II- Who Is An Insured is amended to B. With respect to the insurance afforded to these <br />include as an additional insured the person(s) or additional insureds, the following additional exclu- <br />organization(s) shown in the Schedule, but only sions apply: <br />with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or <br />damage" or "personal and advertising injury" "property damage" occurring after: <br />caused, in whole or in part, by: 1. All work, including materials, parts or equip- <br />1. Your acts or omissions; or ment furnished in connection with such work, <br />2. The acts or omissions of those acting on your on the project (other than service, maintenance <br />Behalf; or repairs) to be performed by or on behalf of <br />in the performance of your ongoing operations for the additional insureds) at the location of the <br />the additional insureds) at the location(s) designated covered operations has been completed; or <br />above. 2. That portion of'~your work" out of which the <br /> injury or damage arises has been put to its in- <br /> tended use by any person or organization other <br /> than another contractor or subcontractor en- <br /> gaged in performing operations for a principal <br /> as a part of the same project. <br />CG 20 10 07 04 ©ISO Properties, Inc., 2000 Page 1 of 1 ^ <br />