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POLICY NUh4BER: PPS05312733 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 In 07 04 <br />'PHIS ENUORSEAIENT CHANGES THE POLICY, PLEASE READ 1'1' CAREFULLY, <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS SCHEDULED PERSON OR <br />MMe7 I vwml 011M,i <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Named Of Additional hisured Person(s) <br />Or Organizations Location(s) of Covered Operations <br />City of Santa Ana <br />Infornmtion required io complete the Sei edule, if not shown above, will be shown in the Declarations. <br />A. Section Il - Who is An Insured is amended to <br />include as an additional insured the person(s) or <br />Orgnization(s) shown in the Schedule, but only with <br />respect to liability for "bodily injurv', "property <br />damage" or °personal and advertising injury" cnnse , <br />in whole or in part, by: <br />1, Your acts Or Omissions; or <br />The acts or Omissions of those acting on <br />your behal f; <br />in the performance Of YOU) Ongoing operations for <br />the achlitionnl insured(s) at the locations) designated <br />above. <br />CG 20 10 07 04 <br />B. with respect o the insurance afforded to these <br />additional insureds, the following additional <br />eXCIUSIUIIS apply: <br />This insurance does not apply to "bodily injury" or <br />"property damage" occurring after: <br />I. All work, including materials, parts or equipment <br />furnished in connection with Such work, on the <br />project (other than solvice, maintenance or repairs) <br />to be performed by or on behalf of the additional <br />insured(s) at the location of the covered operations <br />has been completed; or <br />2. That portion of "yoni work" out of which the <br />injury or damage arises has been put to its <br />intended use by any person or organization other <br />than another contractor or subcontractur engaged <br />in performing operations for a principal as a part <br />of the Same project. <br />Copyright ISO Properties, Inc.; 2004 <br />CEn NO.: 173'1"4"! t`.1. {;xNT CJ ➢L; T0111MIBL M...... ICi,I\ 01x2/2019 10,35:13 ", Paye 2 Of 2 <br />Page 1 01' 1 <br />