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Policy Number: CBP9599092 CG 20 10 07 04 <br />Effective Date:06/01/11 <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 Additional Insured Person(s) <br />or Or anization s : <br />Locations or Covered O erations <br />The City of Santa Ana, its officers, employees, agents, All Operations of the Named Insured <br />volunteers and representatives <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />Information re wired to com lete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section II - 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 [o liability for "bodily injury", "property <br />damage" or "personal and advertising injury" <br />caused, in whole or in part, by: <br />1 . Your acts or omissions or <br />2? The acts or omissions of those acting on your <br />behalf; <br />in the pertormance of your ongoing operations for <br />the additional insureds) at the location(s) <br />designated above. <br />B. With respect to the insurance afforded to these <br />additional insureds, the following additional <br />exclusions apply.: <br />CG 20 1 O 07 04 <br />This insurance does not apply to "bodily injury" or <br />"property damage" occurring after: <br />1 . All work, including materials, parts or equipment <br />furnished in connection with such work, on the <br />project (other than service, maintenance or <br />repairs) to be pertormed by or on behalf of the <br />additional insureds) at the location of the <br />covered operations has been completed; or <br />2? The portion of "your work" out of which the <br />injury or damage arises has been put to its <br />intended use by any person or organization <br />other than contractor or subcontractor engaged <br />in performing operations for a principal as a part <br />of the same project. <br />?QRpV£? <br />K <br />L\SA r`' C? yoA t r?e`I <br />pssista?t <br />7 <br />©ISO Properties Pg 1 of 1