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POLICY NUMBER: GL1617202 COMMERCIAL GENERAL <br />uAaluTY <br />CG 2010 07 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REAL] 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 Additional Insured Persons) <br />Or Or anizetion s : <br />Locations Of Covered Operations <br />City of Santa Ana, its officers, employees, agents, <br />Re: City of Santa Ana On Call Emergency <br />volunteers and representatives <br />Agreement <br />Information required to complete this Schedule, if not shown <br />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 organizatlon(s) <br />shown in the Schedule, but only with respect to liability for'bodily injury", "property damage" or 'personal and <br />advertising injury" caused, in whole or in part, by: <br />1. Your acts or omissions; or <br />2. The acts or omissions of time acting on your behalf; <br />in the performance of your ongoing operations for the additional insured(s) at the locations) designated 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" at 'property damage" occurring after. <br />1. All work, Including materials, parts or equipment furnished in connection with such work, on the project (other <br />than service, maintenance or repairs) to be performed by or on behalf of the additional Insured(s) at the location <br />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 any <br />person or organization other than another contractor or subcontractor engaged in performing operations for a <br />principal as a part of the same project. <br />PRIMARY CLAUSE ENDORSEMENT: <br />It is further agreed that such insurance as is afforded by this policy for the benefit of the Additional Insured <br />shown shall be primary insurance, but only as respects to any claim, loss or liability arising out of the operations <br />of the Named Insured and any other insurance maintained by said Additional Insured shall be non-contributing. <br />CG 20 10 07 04 <br />0 ISO Properties, Inc., 2000 <br />