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COMMERCIAL GENERAL LIABILITY POLICY NUMBER: 2-6H0-35F63659-TSL-11 ISSUE DATE: 03-09-12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -VENDORS BROAD FORM This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART CITY OF SANTA ANA, ITS OFFICERS, AGENTS A. SCHEDULE Name of Person or Organization (Vendor): AND EMPLOYEES 20 CIVIC CENTER SANTA ANA CA 92701 Your products: ATTORNEY SERVICES distributed or sold in the regular course of the turer, and then repackaged in the (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) B. PROVISIONS c. Any physical or chemical change in the WHO IS AN INSURED (Section II) is amended to product made intentionally by the ven- include as an insured any person or organization dor; (referred to below as "vendor") shown in the d. Repackaging, unless unpacked solely for Schedule, but only with respect to "bodily injury" the purpose of inspection, demonstra- or "property damage" arising out of "your tion, testing, or the substitution of parts products" shown in the Schedule which are under instructions from the manufac- vendor's business subject to the following original container; additional provisions: e. Demonstration, installation, servicing or 1. The insurance afforded the vendor does not repair operations, except such opera- apply to: tions performed at the vendor's premises a. "Bodily injury" or "property damage" for in connection with the sale of the which the vendor is obligated to pay product; damages by reason of the assumption of f. Products which, after distribution or sale liability in a contract or agreement. This by you, have been labeled or relabeled exclusion does not apply to liability for or used as a container, part or ingredient damages that the vendor would have in of any other thing or substance by or for the absence of the contract or agree- the vendor; ment; g. The sole negligence of the vendor. b. Any express warranty, or any distribution.,,-,M 2. or sale for a ur ose ur theV0 This insurance does not apply to any insured p p y you; ? BgRe person or organization, from whom you have ( A acquired such products, or any ingredient, RGK STO part or container, entering into, accompany- i i h d t i t ?Sq E. Attorney ng or con a n ng suc pro uc s. ?s?stant City Includes copyrights material of Insurance Se ices Office, Inc., with its permission ) CG T3 30 11 88 (Rev. 12-95) Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1