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POLICY NUMBER: PHPK661902 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 ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured <br />Person(s) Or Organization(s) <br />Location(s) Of Covered Operations <br />City of Santa Ana, <br />4 Fabriano, Irvine, Orange, CA, 92620 <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section 11 — Who Is An Insured is amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only with <br />respect to liability for "bodily injury", "property damage" <br />or "personal and advertising injury" caused, in whole or <br />in part, by: <br />1. Your acts or omissions; or <br />2. The acts of omissions of those acting on your <br />behalf; <br />in the performance of your ongoing operations for <br />the additional insured(s) at the location(s) designated <br />above. <br />B. With respect to the insurance afforded to these <br />additional insureds, the following additional <br />exclusions apply: <br />This insurance does not apply to "bodily injury" or <br />"property damage" occurring after: <br />1. All work, including materials, parts or <br />equipment furnished in connection with <br />such work, on the project (other than <br />service, maintenance or repairs) to be <br />performed by or on behalf of the additional <br />insured(s) at the location of the covered <br />operations has been completed; or <br />2. That portion of "your work" out of which <br />the injury or damage arises has been <br />put to its intended use by any person or <br />organization other than another contractor <br />or subcontractor engaged in performing <br />operations for a principal as a part of the <br />same project. <br />CG 20 10 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 <br />