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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br />BLANKET ADDITIONAL INSUREDS - <br />OWNERS, LESSEES OR CONTRACTORS <br />This endorsement modifies insurance provided under the following <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Policy Number: NA104655700 <br />Named Insured <br />TOM BYSTRY <br />VIDEO ENGINEERING SERVICES <br />Endorsement Effective: 2/1/2013 12:01 a.m. <br />Countersigned By: <br />SCHEDULE <br />i <br />Name of Person or Organization: <br />CITY OF SANTA ANA FINANCE S MANAGEMENT SERVICES AGENCY PURCHASING DIVISION, ITS <br />OFFICERS, EMPLOYEES, AGENTS AND REPRESENTATIVES <br />20 CMC CENTER PLAZA M40 <br />SANTA ANA CA 92702 <br />Location: <br />VARIOUS LOCATIONS THROUGHOUT SANTA ANA, CA <br />,If no entry appears above, information required to complete this endorsement will be shown in the Declarations <br />as applicable to this endorsement.) <br />A. Section II —Who Is An Insured is amended to include as an insured the person or <br />organization shown in the Schedule, but only to the extent that the person or organization <br />shown in the Schedule is held liable for your acts or omissions arising out of your ongoing <br />operations performed for that insured. <br />S. With respect to the insurance afforded to these additional insureds, the following exclusion is <br />added' <br />2. Exclusions <br />This insurance does not apply to "bodily injury" or "property damage" occurring after: <br />(1) All work, including materials, parts or equipment furnished in connection with such <br />work, on the project (other than service, maintenance or repairs) to be performed by <br />or on behalf of the additional insured(s) at the site of the covered operations has been <br />completed; or <br />(2) That portion of "your work" out of which the injury or damage arises has been put to <br />its intended use by any person or organization other than another contractor or <br />subcontractor engaged in performing operations for a principal as a part of the same <br />project. <br />C. The words "you" and "your" refer to the Named Insured shown in the Declarations. <br />D. "Your work" means work or operations performed by you or on your behalf-, and materials, parts <br />or equipment furnished in connection with such work or operations. <br />Primary Wording <br />If required by written contract or agreement. Such insurance as is afforded by this policy shall be <br />primary insurance, and any insurance or self-insurance maintained by the above additional <br />insured(s) shall be excess of the insurance afforded to the named insured and shall not contribute <br />to it. <br />Waiver of Subrogation <br />If required by written contract or agreement We waive any right of recovery we may have against <br />an entity that is an additional insured per the terms of this endorsement because of payments we <br />make for injury or damage arising out of "your work" done under a contract with that person or <br />organization. <br />49-0108 0711 May Include Copyrighted Material of Insurance Services Offices, Inc. Page 1 of 1 <br />Used with permission APPROVED AS TO FORM <br />LISA E. STORCK �� <br />