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Additional Insured - Owners, Lessees or Contractors - Scheduled <br />Person or Organization - CO 20 10 04 13 <br />Policy Ameadment(s) Commercial General Liability <br />Insured: AMAMAG13 MA L1313, I,r,c Policy Number: DXJ80989376 <br />Producer: WOOD—GUTUAM & BOGART xrts. Effective Date: 07/15/18 <br />This endorsement modifies insurance providedunder the following: <br />Commercial General Liability Coverage Part <br />4 <br />Name Of Additional InstwedPerson(s) Or Organization(s) Location(s) Of Covered Operations <br />The City of Santa Ana, We officers, employees, agents, and representative <br />20 Civic Center Plaza, <br />Santa Ana, California 92701 <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section n - Who Is An Insured is amended to 2. If coverage provided to the additional insured <br />include as an additional insured the persoa(s) or is required by a contract or agreement, the <br />organization(s) shown in the Schedule, but only insurance afforded to such additional insured <br />with respect to liability for buddy konry, property will not be broader than that which you are <br />damage or personal and advertising injury caused, required by the contract or agreement to <br />in whole or in pan, by: provide for such additional insured. <br />1. Your acts or omissions; or <br />2. The acts or omissions of those acting oa your <br />behalf-, <br />in the performance of your ongoing operations for <br />the additional insured(s) at the location(s) <br />designated above. <br />However. <br />1. The insurance afforded to such additional <br />insured only applies to the extent permitted <br />by law-, and <br />E. With respect to the insurance afforded to these <br />additional insureds, the following additional <br />exclusions apply: <br />Ibis insurance does not apply to bodily injury or <br />property damage occurring after: <br />1. All work, including materials, parts or <br />equipment famished in connection with such <br />work, on the project (other than service, <br />maintenance or repairs) to be performed by <br />or on behalf of the additional insured(s) at the <br />location of the covered operations has been <br />completed; or <br />Tlds Form must be attached m Change Rndorsement when issued after the pohcy is wtitnan. lsNcii <br />na One of the Firen's Fund Insurance Companies as maned in the polity e <br />Secretary V <br />CG2010 443 <br />0 Insurance6ervicest,"ce, Inc., 2012 <br />Pr'Md 'n <br />Page 1 of 2 <br />