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POLICY NUMBER: COMMERCIAL GENERAL LIABILITY <br />GG 20 37 04 13 <br />THIS ENDORSEMENT CHANGES THE POLICY, PLEASE HEAD IT CAREFULLY. <br />ADDITIONAL. INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - COMPLETED OPERATIONS <br />This endorsement modifier, Insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART" <br />SCHEDULE <br />Name Of Additional Insured Porson(s) Or <br />City <br />Attn: Purchasing Department <br />20 Civic Center Plaza <br />Santa Ana, CA 02701 -0000 <br />Location and Description Of Complete <br />ation required to complete this Schedule, if not shown above, will be shown <br />A. Section It — Who Is An Insured is amended to <br />include as an additional Insured the person(s) or <br />organizaton(s) shown In the Schedule, but only <br />with respect to liability for "bodily Injury" or <br />"property damage" caused, In whole or in part, by <br />"your work" at the location designated and <br />described in the Schedule of this endorsement <br />performed for that additional insured and <br />Included in the "producta•complotad operations <br />hazard ". <br />However: <br />1. The insurance afforded to such additional <br />Insured only applies to the extent permitted <br />by law; and <br />2. If coverage provided to the additional insured <br />is required by a contract or agreement, the <br />insurance afforded to such additional Insured <br />will not be broader than that which you are <br />CG 20 37 04 13 <br />required by the Contract or agreement to provide <br />for such additional insured. <br />B. With respect to the Insurance afforded to these <br />additional Insureds, the following is added to <br />Section 111 _ Limits Of Insurance: <br />If coverage provided to the additional Insured is <br />required by a contract or agreement, the most we <br />will pay on behalf of the additional insured is the <br />amount of insurance: <br />1. Required by the contract or agreement; or <br />2. Available under the applicable Limits of <br />Insurance shown in the Declarations; <br />whichever is less. <br />This endorsement shall not Increase the applicable <br />Limits of Insurance shown in the Deolaraters. <br />AIL terms and conditions apply unless modified by this endorsement. <br />(0 Insurance Services Office, Ina. 2012 <br />Page 1 of 1 <br />APPROVED, As TO FORIA <br />LISA E. STORCK <br />Assistant City Attornev <br />.14 <br />