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POLICY NUMBERS PHPK772381 COMMERCIAL GENERAL LIABFLITY <br />C G 20 1 O 07 04 <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 Addiitional Insured Persons) <br />Or Or anizatlon s : <br />Location s Of Covered O stations <br />City of Santa Ana its officers, agents and <br />Pr7i s3 {C3yBC?S <br />Information re wired to com lete this Schedule, if not shown above, wilt be shown in the Declarations. <br />A_ Section II —Who Is An Insured is amended to <br />include as an additional insured the persons) or <br />organizations) shown in the Schedule, but only <br />with respect to liability for "bodily injury ", "property <br />damage" or "personal and advertising injury" <br />caused, in whole or in part, bye <br />1. Your acts or omissions; or <br />2. The acts or omissions of those acting on your <br />behalf; <br />in the performance of your ongoing operations for <br />the additional insureds) at the location(sJ desig- <br />nated above. <br />B. With respect to the insurance afforded to these <br />additional insureds, the following additional exclu- <br />sions apply_ <br />This insurance does not apply to "bodily injury" or <br />"property damage" occurring after: <br />1. All work, including materials, parts or equip- <br />ment furnished in connection with such work, <br />on the project (other than service, maintenance <br />or repairs) to be performed by or on behalf of <br />the additional insureds) at the location of the <br />covered operations has been completed; or <br />2. That portion of "your work" out of which the <br />injury or damage arises has been put to its in- <br />tended use by any person or organization <br />other than another contractor or subcontractor <br />engaged in performing operations fora princi- <br />pal as a part of the same project. <br />CG 20 10 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 O <br />