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i <br />0/29/2012 3:i I41:30 PM PST (GMT-8) FROM: 100005—TO: 17146476956 Page: 3 of 5 <br />1 <br />POLI Y NUMBER:CBP8699930 COMMERCIAL GENERAL LIABILITY <br />CG 2010 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 ndorsement modifies insurance provided under the following: <br />C MMERCIAL GENERAL LIABILITY COVERAGE PART <br />i <br />SCHEDULE <br />Nance Of Additional Insured Person(s) <br />Or Organ lzations : <br />Locations Of Covered Operations <br />Cit <br />t of Santa Ana <br />MLS CA, #3011 <br />Infor <br />ation required to complete this Schedule if not shown above, will be shown in the Declarations. <br />A. Sgction <br />I <br />II — Who Is An Insured is amended to <br />B. With respect to the insurance afforded to these <br />include <br />as an additional insured the person(s) or <br />additional insureds, the following additional exclu- <br />or <br />anization(s) shown in the Schedule, but only <br />sions apply: <br />wi <br />h respect to liability for "bodily injury", "property <br />This insurance does not apply to "bodily injury' or <br />damage" <br />or "personal and advertising injury" <br />"property damage" occurring after: <br />cased, in whole or in part, by: <br />1. All work, including materials, pans or equip- <br />1 <br />.1 <br />Your acts or omissions; or <br />ment furnished in connection with such work, <br />2. <br />The acts or omissions of those acting on your <br />on the project (other than service, maintenance <br />behalf; <br />or repairs) to be performed by or on behalf of <br />in <br />the performance of your ongoing operations for <br />the additional insured(s) at the location of the <br />covered operations has been completed; or <br />the <br />additional insured(s) at the location(s) desig- <br />nE <br />ted above. <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 other <br />than another contractor or subcontractor en- <br />gaged in performing operations for a principal <br />as a part of the same project. <br />AA C)nt.: <br />its officers, agents, employees, representatives, and volunteers, as required by written contract. <br />CG 2� <br />10 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 D <br />