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• <br />• <br />POLICY NUMBER: GLO 9298949-10 <br />COMMERCIAL GENERAL LIABILITY <br />CG20101001 <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 ANNA <br />ATTN: TAIG HIGGINS <br />20 CIVIC CENTER PLAZA, M-36 <br />SANTA ANNA, CA 92701 <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as <br />applicable to this endorsement.) <br />A. Section II — Who Is An Insured is amended to <br />include as an insured the person or organization <br />shown in the Schedule, but only with respect to <br />liability arising out of your ongoing operations <br />performed for that insured. <br />B. With respect to the insurance afforded to these <br />additional insureds, the following exclusion is <br />added: <br />2. Exclusions <br />This insurance does not apply to "bodily in- <br />jury" or "property damage" occurring after: <br />APi'P011', ,,_t .� S TO FORM <br />/, - -Z2-- <br />t Stitt Sheedy <br />!'ity Attorney <br />(1) All work, including materials, parts <br />or equipment furnished in <br />connection with such work, on the <br />project (other than service, mainte- <br />nance or repairs) to be performed by <br />or on behalf of the additional in- <br />sured(s) at the site of the covered <br />operations has been completed; or <br />(2) That portion of 'your work" out of <br />which the injury or damage arises <br />has been put to its intended use by <br />any person or organization other <br />than another contractor or subcon- <br />tractor engaged in performing op- <br />erations for a principal as a part of <br />the same project. <br />CG 20 10 10 01 © ISO Properties, Inc., 2000 Page 1 of 1 <br />