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ERIE INSURANCE <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 10 (Ed. 4/13) OF -9665 <br />POLICY NUMBER: Q28- 2400686 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - <br />SCHEDULED PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />CONDAERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) <br />Or Organization(s) <br />Locations Of Covered Operations <br />CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, <br />PROJECTS, VARIOUS LOCATIONS IN SANTA ANA <br />AGENTS AND VOLUNTEERS, 20 CIVIC <br />CA <br />CENTER PLAZA 6TH FL, SANTA ANA CA 92701 <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations, <br />A. Section II— Who Is An Insured is amended to include as <br />an additional insured the person(s) or organization(s) <br />shown in die Schedule, but only with respect to liability <br />for "bodily injury ", "property damage" or "personal and <br />advertising 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 your behalf; <br />in the performance of your ongoing operations for the <br />additional insured(s) at the location(s) designated above. <br />However: <br />1. The insurance afforded to such additional insured only <br />applies to the extent permitted by law; and <br />2. If coverage provided to the additional insured is <br />required by a contract or agreement, the insurance <br />afforded to such additional insured will not be broader <br />than that which you are required by the contract or <br />agreement to provide for such additional insured. <br />B. With respect to the insurance afforded to these additional <br />insureds, the following additional 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 equipment <br />famished in connection with such work, on the project <br />(other than service, maintenance or repairs) to be <br />performed by or on behalf of the additional insured(s) <br />at the location of the covered operations has been <br />completed; or <br />2. That portion of "your work" out of which the injury or <br />damage arises has been put to its intended use by any <br />person or organization other than another contractor or <br />subcontractor engaged in performing operations for a <br />principal as a part of the same project, <br />C. With respect to the insurance afforded to these additional <br />insureds, the following is added to Section III — Limits Of <br />Insurance: <br />If coverage provided to the additional insured is required <br />by a contract or agreement, the most we will pay on behalf <br />of the additional insured is the amount of insurance: <br />1, Required by the contract or agreement; or <br />2 Available under the applicable Limits of Insurance <br />shown in the Declarations; <br />whichever is less. <br />This endorsement shall not increase the applicable Limits <br />of Insurance shown in the Declarations. FOgNi <br />AP ©..IEp As TO <br />p <br />�UE. <br />© Insurance Services Office, Inc., 2012 <br />