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Forming a part of <br />Policy Number: CBP8315374 <br />.overage is "rrovlded in bVLUCIV EillaLt INSURANCE I:VKt'UI<AIIVIV <br />Named Insured: <br />Agent: <br />CAZCOM INC <br />ISU INSURANCE SERVICES -ARMAC A <br />DBA HI DESERT COMMUNICATIONS <br />GENCY <br />Agent Code: 4295975 Agent Phone: (780)- 241 -7900 <br />I HIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) Location(s) Of Covered Operations <br />Or Oroanization(sl: <br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS <br />VOLUNTEERS AND REPRESENTATIVES <br />CIO SANTA ANA FIRE DEPARTMENT <br />1439 S BROADWAY AVENUE <br />SANTA ANA, CA 92707 <br />I Information required to complete this Schedule, if not shown above will be shown in the Declarations. <br />A, Section II — Who Is An Insured is amended to include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or <br />"personal and advertising injury" 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 behalf; <br />in the performance of your ongoing operations for the additional insured(s) at the location(s) designated <br />above. <br />B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: <br />This insurance does not apply to "bodily injury" or "property damage" occurring after: <br />1.. All work, including materials, parts or equipment furnished in connection with such work, on the project <br />(other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at <br />the location of the covered operations has been completed; or <br />2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by <br />any person or organization other than another contractor or subcontractor engaged in performing <br />operations for a principal as a part of the same project. <br />© ISO Properties Inc 2004 <br />CG 20 10 07 04 Page 1 of 1 <br />08/30/2009 8315374 NEUSXEGG110 PGDMO60D J00744 GCAFPPN 00011982 Page 17 <br />