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POLICY NUMBER:711-01-13-30-0004 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - COMPLETED OPERATIONS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) or Organization(s): <br />THE CITY OF SANTA ANA <br />* <br />20 CIVIC CENTER PLZ # M-30, P 0 BOX 1988 <br />SANTA ANA, CA 92701-4058 <br />Location And Description of Completed Operations <br />Location Building <br />1 1 * THIER RESPECTIVE OFFICERS, EMPLOYEES, <br />AGENTS, VOLUNTEERS AND REPRESECTATIVES <br />`Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section II — Who Is An Insured is amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only <br />with respect to liability for 'bodily injury" or "prop- <br />erty damage" caused, in whole or in part, by <br />"your work" at the location designated and de- <br />scribed in the Schedule of this endorsement per- <br />formed for that additional insured and included in <br />the "products -completed operations hazard". <br />However: <br />1. The insurance afforded to such additional in- <br />sured only applies to the extent permitted by <br />law; and <br />2. If coverage provided to the additional insured is <br />required by a contract or agreement, the insur- <br />ance afforded to such additional insured will not <br />be broader than that which you are required by <br />the contract or agreement to provide for such <br />additional insured. <br />CG zo 37 a 13 ®Insurance services Office, Ina, zot z APPROVED S Cse bPzRM <br />INSURED <br />LISA E. STORCK <br />Assistant Citv Attornev, '�'� <br />