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POLICY NUMBER: 42SBAPB4058 COMMERCIAL GENERAL LIABILITY <br />CG 2010 (Ed. 07/04) <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 />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name of Additional Insured Person(s) or Organization(s): I Location of Covered Operations: <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California All jobs <br />92701; its officers, employees, agents, volunteers and <br />representatives <br />(If no entry appears above, information required to complete this endorsement will be shown in the declarations as <br />applicable to this endorsement). <br />A. Section 11 — Who is an insured is amended to include as an additional insured the person(s) or organization(s) <br />shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal or <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 additional insured(s) at the locations(s) designated above. <br />B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: <br />This insurance does not apply to "bodily injury" or "property damage" occurring after: <br />1. All work, including materials, parts or equipment furnished in connection with such work, on the project <br />(other than service maintenance or repairs) to be performed by or on behalf of the additional insured(s) at <br />the location of the covered operations has been completed; or <br />2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by <br />any person or organization other than another contractor or subcontractor engaged in performing <br />operations for a principal as a part of the same project. <br />CG 20 10 07 04 0 ISO Properties, Inc. 2004 <br />