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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 - SCHEDULED PERSON OR <br />ORGANIZATION <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(s) Of Covered 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 ll — Who Is An Insured is amended to <br />include as an additional insured the person(s) <br />or organization(s) shown in the Schedule, but <br />only with respect to liability for "bodily injury", <br />"property damage" or "personal and advertising <br />injury" caused, in whole or in part, by: <br />1. Your acts or omissions; or <br />2. The acts or omissions of those acting on B. <br />your behalf; <br />in the performance of your ongoing operations <br />for the additional insured(s) at the location(s) <br />designated above. <br />However: <br />1. The insurance afforded to such additional <br />insured only applies to the extent permitted <br />by law; and <br />CG 20 10 04 13 <br />2. If coverage provided to the additional in- <br />sured is required by a contract or agree- <br />ment, the insurance afforded to such addi- <br />tional insured will not be broader than that <br />which you are required by the contract or <br />agreement to provide for such additional in- <br />sured. <br />With respect to the insurance afforded to these <br />additional insureds, the following additional ex- <br />clusions apply: <br />This insurance does not apply to "bodily injury" <br />or "property damage" occurring after: <br />1. All work, including materials, parts or <br />equipment furnished in connection with such <br />work, on the project (other than service, <br />maintenance or repairs) to be performed b <br />or on behO fv ticA@ I'�i 1�reE <br />C Insurance Services Office, Inc., 2012 �1Page 1 of 2 <br />INSURED <br />LISA E. <br />, CORCK /� <br />Assistant City Attorney <br />