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Academic Academies <br />POLICY NUMBER: 72SBMAP4256 1/16/2014-I/ts/2015 COMMERCIAL GENERAL LIABILITY <br />CG 2010 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 />City of Santa Ana <br />Parks, Recreation and Community Services Agency <br />1825 W. Civic Center <br />Santa Ana, CA 82701 <br />Location(s) Of Covered Operations <br />Information required to complete this Schedule, 4 not shown above, will be shown in the Declarations. <br />A. Section 11 — Who Is An Insured is amended to <br />include as an additional insured the petson(s) or <br />organization(s) shown in the Schedule, but only <br />with respect to liability for "bodily injury", "property <br />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 your <br />behalf, <br />In the performance of your ongoing operations for <br />the additional insured(s) at the location(s) <br />designated above. <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. 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 by or <br />on behalf of the additional insured(s) at the <br />location of the covered operations has been <br />completed; of <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 subcontractor <br />engaged in performing operations for a <br />principal as a part of the same project. <br />CG 2010 07 04 0ISO Properties, Inc., 2004 Page 1 of 1 <br />