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POLICY NUMBER: ACP 7815094878 <br />COMMERCIAL GENERAL WABtLTTY <br />CG 71 $6 OS 04 <br />THIS ENDORSEMENT CHANGES THE POLICY.' PLEASE READ IT CAFIEPULLY. <br />ADDITIONAL. INSURED <br />PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART - APPROVED AS 1 SCHEDULE 'AAAu6k &-. Laura A Rossini <br />Nameof Person or Organization: ' Assistant City Attorney <br />THE CITY OF SANTA ANA, IrS OFFICERS, EMPLOYEES, AGENTS AND REPRESENTATIVES ' <br />20 CNIC CENTER PLAZA <br />SANTA ANA, CA 827'01 ' <br />(if no entry appears above, information required to complete this endorsement will be shown in the <br />eclarations as applicable to this endorsement.) <br />A. Section 11 - Who Is An Insured Is amandad•to <br />Include as an additional Insured the person(s) or <br />organization(s) shown in the Schedule, but only <br />1111119 spect to liability for "bodily injury", "prop <br />Orly damage" or "personal and advertising Injury" <br />caused, in whole'orIn part, by: <br />1. Your acts or omissions; or <br />2. The acts or omissions of those acting on <br />your behalf; in the performance of your on- <br />going operations for the additional in- <br />sureds) at the looaticn(s) designated <br />above, <br />No such person or organization is an add. <br />Vona] insured for liability arising out of the <br />"products-completedoperations hazard". <br />B. With respect to the insurance afforded to these <br />ackrnional Insureds, the following addlbanal' ex- <br />clusion s apply: <br />This insurance does not apply to 'bodily injury' or <br />"property damage" occurring after. <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 contactor or suboorI <br />for engaged In performing operations for a <br />principal as a part of the same project. <br />C. The following is added. to SECTION 111 -LIMITS <br />OF INSURANCE: <br />The limits of Insurance' applicable to. the addl- <br />tional insured are those specified in the written <br />contact between you and the additional Insured, <br />or the Ilmb avallabta under this policy, which. <br />ever are less. These limit's Oro part 01.401 not in <br />addition to the fimlts of insurance under this poi- <br />Icy, <br />1. All work, including materials, parts or equip- <br />ment famished in connection with such <br />work, on the project (other than service, <br />maintenance or repairs) to be performed by <br />or on behalf of to additional insureds) at <br />the location of the covered operations has <br />been. completed; or <br />CG 71.56 08 04 Includes copyrighted material of ISO Properties, Inc., with its permission. <br />ACP OLD M00=70 LOUP 122De INSURED COPY <br />Page 1 of 2 <br />78 01170840