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POLICY NUMBER: 72 WV ,S092B4 COMMERCIAL GENERAL LIABILITY <br />CG201OD704 <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 fioliowing: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Persons) <br />Or Organization(s): Location / =� elf Covered Operations <br />THE CITY OF SANTA ANA, 20 CIVIC CENTER <br />PLAZA, SANTA ANA, CA 92701 <br />OFFICERS, EMPLOYEES, AGENTS AND <br />REPRESENTATIVE S <br />26 CIVIC CENTER PLAZA <br />SANTA ANA , CA 9 2 7 01 <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 persons) or <br />organizaticn(s) 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, by: <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 far <br />the additional insureds) at the locaticn(s) <br />designated above. <br />B. Wfth 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 such <br />work, on the project (other than service, <br />maintenance or repairs) to be performed by or <br />on behalf of the additional insureds) at the <br />location of the covered operations has been <br />completed; or <br />2. That 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 another contractor or subcontractor <br />engaged in performing operations for a <br />principal as a part of the same project. <br />CG 20 10 07 04 ©ISO Properties, Inc., 2004 Page i of � <br />