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INSURED <br />Rebuilding Together orange County <br />P.O. sox 329 <br />TUSTIN CA 92781-0329 USA <br />CG 20 10 07 04 <br />POLICY NUMBER: G24011720001 <br />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 CONTRACTORS <br />SCHEDULED PERSON OR ORGANI7ATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s)Or organization(s): City of Santa Ana <br />Location(s) Of Covered Operations <br />Information required to complete this schedule, if not shown above, will be shown in the <br />Declarations. <br />A. section II - who Is An Insured is amended to include as an additional insured the person(S) <br />or organization(s) shown in the schedule, but only with respect to liability for "bodily <br />injury", "property damage" or "personal and advertising injury" caused, in whole or in part, <br />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) <br />designated above. <br />B. with respect to the insurance afforded to these additional insureds, the following <br />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 <br />the project (other than service, maintenance or repairs) to be performed by or on behalf of the <br />additional insured(s) at the location of the covered operations has been completed; or <br />2. That portion of "your work" out of which the in7'ury or damage arises has been put to its <br />intended use by any person or organization other than another contractor or subcontractor <br />engaged in performing operations for a principal as a. part of the same project. <br />CG 20 10 07 04 <br />(c) ISO Properties, -Inc., 2004 <br />Certificate No : 570027502144 <br />