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POLICY NUMBER: ACP 7815084878 <br />COMMERCIAL GENERAL LIABILITY <br />CO 7156 08 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAI tr-uL; .V. <br />ADDITIONAL INSURED <br />PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name of Person. or Organization: <br />THE CITY OF SANTA ANA, 1'3 OFFICERS, EMPLOYEES, AGENTS AND REPRESENTATIVES <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 82701 <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 Il - 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", "prop- <br />arty damage" or "personal and advertising injury" <br />caused, in whole or in part, by: <br />1. Your acts or omissions; or <br />2. The acts or omissions of those acting on <br />your 'shelf,* in the performance of your on- <br />going operations for the additional in- <br />sureds) at the location(s) designated <br />above. <br />No such person or or anization Is an addl- <br />tional insured for liability arising out of the <br />"produots-completedoperadons hazard". <br />B. 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'bodiiy injury" or <br />'property damage" occurtng after, <br />1'. All work, including materials, parts or equip- <br />ment furnished 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 the additional insureds) at <br />the location of the covered operations has <br />been. completed; or <br />CG 71 56 08 04 <br />ACP OLD 1816054870 <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 contractor or subcontrac. <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 Ill - LIMITS <br />OF INSURANCE: <br />The limits of Insurance applicable to the addl- <br />Vonal Insured are those specified in the written <br />contract between you and. N additional insured, <br />or the limits available under this porky, which. <br />ever are lass. These limits are part of. end not in <br />addition to the limits of Insurance under this poi- <br />icy, <br />APPROVED AS TO ORM - <br />Laura A. Rossini <br />Assistant City Attorney <br />Includes copyrighted material of ISO Properties, Inc., with its permission. <br />LOOP 12208 INSURED COPY <br />Page 1 of 2 <br />78 0040M