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„ I <br />POLICY NUMBER: lio;6 220969 COMMURCIAL. GENERAL LIA81"TY' <br />GG 2e 7e OT 114 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAIEEFUILLY. <br />CONTRACTORS - SCHEDULED PERSON OR <br />ORGANIZATION <br />This endorsement madifies Insurance provided under the foilowing: <br />OCMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEOULIE <br />Name of-AdOltional Insured Person(&) <br />• Or Organization (s): <br />Location (s) Of Covered Operations <br />ne City of t"ontm, Ana <br />PO F3ox 1.986 <br />Se at a Ana, CaL 92702 <br />Information required to eomplote this Schedule. if not shown abovo, will be shown In the Ueclarstlona. <br />A. Section 01 , Who Is An Insured is amended to include <br />as an additional „Insured the paraon(a) or <br />organizations) 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 />1, Your act% or omissions: or <br />2• Thai cuts or emissions of those noting on your <br />behalf; <br />in the performance of your ongoing operations for the <br />additional Insurad(s) at the locatlon(s) designated <br />above. <br />El. With respect to the insurance afforded to arose <br />additional Insureds, the following addltlonal <br />axolusions apply: <br />This Insurance does not apply to "bodily Injury" or <br />"property damage" occurring rafter: <br />9. All work, including materials, pada or equipment <br />furnished In connecdon with suoh work, on the <br />project (other than service, malntananca at, <br />ralealre) to be performed by or on behalf of the <br />dddltlnnal IneUred(e) at the location of the oovered <br />operations has beton oomplated; or <br />2. That portion of "your work" out of which the Inlury <br />or damage allses has been put to its intended use <br />by any person or oManization other than another <br />contractor or subcontractor engaged In <br />Performing Operations for a principal as a part of <br />the some project. <br />Laura A. Rossini <br />Assistant Oty Att"ney <br />CG 20 t0 07 04 Copyright, ISO propertles, Ino•, •a0a Pago 7 or t <br />