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Clinical Laboratories of San Bernardino, Inc. <br />Policy #C4034939429 <br />0- 17957 -Gg9 <br />(Ed. 10101) <br />IMPORTANT: THIS ENDORSEMENT CONTAINS DUTIES THAT APPLY TO THE ADDITIONAL <br />INSURED IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUIT. SEE PARAGRAPH <br />C.11. OF THIS ENDORSEMENT FOR THESE DUTIES. <br />ALSO, THIS ENDORSEMENT CHANGES THE CONTRACTUAL LIABILITY COVERAGE WITH <br />RESPECTS TO THE "BODILY INJURY" OR "PROPERTY DAMAGE" ARISING OUT OF THE <br />"PRODUCTS- COMPLETED OPERATIONS HAZARD. " SEE PARAGRAPH B.3. OF THIS <br />ENDORSEMENT FOR THIS COVERAGE CHANGE. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />CONTRACTOR'S SCHEDULED AND BLANKET ADDITIONAL INSURED <br />ENDORSEMENT WITH LIMITED PRODUCTS -- COMPLETED OPERATIONS <br />COVERAGE <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />City of Sane Ana <br />(Coverage under this endorsement is not affected by an entry or lack of entry In the Schedule above.) <br />A. WHO IS AN INSURED (Section 11) is amended to <br />Declarations of this policy, whichever is less. <br />Include as an insured any person or organization, <br />These Limits of Insurance are inclusive of, and not <br />Including any person or organization shown in the <br />In addition to, the Limits of Insurance shown In the <br />schedule above, (called additional insured) whom you <br />Declarations. <br />are required to add as an additional insured on this <br />3. The coverage provided to the additional insured <br />policy under a written contract or written agreement; <br />by this endorsement and paragraph t. of the <br />but the written contract or written agreement must be; <br />definition of "insured contract" under <br />1. Currently in affect or becoming effective during the <br />DEFINITIONS (Section V) do not apply to "bodily <br />term of this policy; and <br />Injury" or "property damage" arising out of the <br />"products - completed operations hazard" unless <br />2. Executed prior 40 the "bodily injury," <br />p y I ry" "property <br />required by the written contract or written <br />damage," or "personal and advertising Injury." <br />agreement. When coverage does apply to "bodily <br />B. The Insurance provided to the addliional insured is <br />Injury" or "property damage" arising out of the <br />limited as follows: <br />"products- completed operations hazard" such <br />coverage will not apply beyond: <br />I . That person or organization is an additional <br />insured solely for liability due to your negligence <br />e. The period of time required by the written <br />and specifically resulting from "your work" for the <br />contract or written agreement; or <br />additional insured which is the subject of the <br />b. 5 years from the completion of "your work" on <br />written contract or written agreement. No <br />the project which is the subject of the written <br />coverage applies to liability resulting from the sole <br />contract or written agreement, <br />negligence of the additional insured. <br />whichever is less. <br />2. The Limits of Insurance applicable to the <br />additional Insured are those specified In the <br />4. The Insurance provided to the additional Insured <br />written contract or written agreement or In the <br />does not apply to "bodily Injury," "property <br />G- 17957 -G99 <br />Page 1 of 2 <br />(Ed. 10101) <br />