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8/29/2016 <br />POLICY NUMBER57SBAAZ1255 <br />Citygate Associates, LLC <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 provided under the following: <br />BUSINESS LIABILITY COVERAGE FORM <br />SCHEDULE <br />Name Of Additional Insured Person(s) <br />Or Orgar ization(s): Location(s) Of Covered Operations <br />City of Santa Ana <br />Finance & Management Services Agency <br />20 Civic Center Plaza M-16 <br />Santa Ana CA 92702 <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section C. — Who Is An Insured is amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only <br />with respect to liability for "bodily injury', "property <br />damage' or "personal and advertising injury" <br />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 <br />behalf, <br />in the performance of your ongoing operations for <br />the additional insureds) at the location(s) <br />designated above. <br />Form SS 41 70 06 11 <br />Process Date: <br />B. With respect to the insurance afforded to these <br />additional insureds, the following additional <br />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 <br />equipment furnished in connection with such <br />work, on the project (other than service. <br />maintenance or repairs) to be performed by or <br />on behalf of the additional insureds) at the <br />location of the covered operations has been <br />completed, or <br />2. That portion of "your work" out of which the <br />injury or damage arises has been put to its <br />intended use by any person or organization <br />other than another contractor or subcontractor <br />engaged in performing operations for a <br />principal as a part of the same project. <br />Policy Expiration Date: <br />.'D 2011, The Hartford <br />(Includes copyrighted material of Insurance Services Office, Inc., with its permission) <br />31515315 1 16 11 :naStes w/ 16-11 PROP S WC PP AcG I Maryari Ca Harriman I 6/29/2016 9:33',02 .m (PSV I Faye 2 of 32 <br />Page 1 of 1 <br />