Laserfiche WebLink
INSURED: Mark Thomas & Company, Inc. <br />GENERAL PURPOSE ENDORSEMENT POLICY NUMBER: 680-21-1548914 <br />OFFICE PAC PLUS ISSUE DATE: 09/15/2016 <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 PROVIDER UNDER THE FOLLOWING: <br />COMMERCIAL GENERAL, LIABILITY COVERAGE PART <br />SCHEDULE <br />NAME OF PERSON OR ORGANIZATION: <br />CITY OF SAtTTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND <br />REPRESENTATIVES <br />20 CIVIC CENTER PLAZA, SANTA ANA, CA 92702 <br />(IF NO ENTRY APPEARS ABOVE, INFORMATION REQUIRED TO COMPLETE THIS <br />ENDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS <br />ENDORSEMENT.) <br />A. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN INSURED THE <br />PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE, BUT ONLY WITH RESPECT TO <br />LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS PERFORMED FOR THAT <br />INSURED. <br />B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSUREDS, <br />THE FOLLOWING EXCLUSION IS ADDED: <br />2. EXCLUSIONS <br />THIS INSURANCE DOES NOT APPLY TO "BODILY INJURY" OR °PROPERTY <br />DAMAGE" OCCURRING AFTER: <br />(1) ALL WORK, INCLUDING MATERIALS, PARTS OR EQUIPMENT FURNISHED <br />IN CONNECTION WITH SUCH WORK, ON THE PROJECT (OTHER THAN <br />SERVICE, MAINTENANCE OR REPAIRS) TO BE PERFORMED BY OR <br />BEHALF OF THE ADDITIONAL INSURED(S) AT THE SITE OF THE <br />COVERED OPERATIONS HAS BEEN 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 />CG 20 10 10 01 ISO PROPERTIES INC., 2000 <br />CG TS 02 09 14 PAGE 1 OF 1 <br />P"f:V/OLUIiCkJ�Y <br />........... ._._ EUNIC' d-ER DIA(��,� <br />_....._. _....._._.... _ _ <br />