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V <br />POLICY NUMBER: WS178749 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 10 07 04 <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) <br />Or Organization(s): <br />Location(s) Of Covered Operations <br /> Various <br />The City of Santa Ana <br />its Officials, Officers, Employees, <br />Agents and Volunteers <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section If • Who Is An Insured is amended to include <br />as. an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only with <br />respect to liability for "bodily injury," "property <br />damage" or "personal and advertising Injury" caused, <br />in whole or in part, by: <br />B. With respect to the Insurance afforded to these <br />additional insureds, the following additional <br />exclusions apply: <br />This insurance does not apply to "bodily injury" or <br />"property damage" occurring after: <br />1. Your acts or omissions; or <br />2. The acts or omissions of those acting on your <br />behalf; <br />in the performance of your ongoing operations for the <br />additional insured(s) at the location(s) designated <br />above. <br />pl,PRO"VEP AS TO FORM <br />Laura A. Rossini <br />Assistant City Attorney <br />1. All work, including materials, parts or equipment <br />furnished in connection with such work, on the <br />project (other than service, maintenance or <br />repairs) to be performed by or on behalf of the <br />additional insured(s) at the location of the covered <br />operations has been completed; or <br />2. That portion of "your work" out of which the Injury <br />or damage arises has been put to its intended use <br />by any person or organization other than another <br />contractor or subcontractor engaged in <br />performing operations for a principal as a part of <br />the same project. <br />CG 20 10 07 04 Copyright, ISO Propertles, Inc., 2004 Page 1 of 1