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COMMERCIAL GENERAL LIABILITY <br />POLICY NUMBER; 680-3B092519-3.6-42 ISSUE DATE: 02/23/2017 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - VENDORS BROAD FORM <br />This endorsement modifies insurance provided under the fallowing: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART <br />A. SCHEDULE <br />Name of Person or Organization (Vendor): <br />CITY OF SANTA ABTA ATTN: PURCHASING DEPARTMENT <br />20 CIVIC CENTER PLAZA <br />SANTA ANA <br />Your products - <br />IT SERVICES <br />CA 92701 <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations <br />as applicable to this endorsement.) <br />B. PROVISIONS <br />WHO IS AN INSURED (Section 11) is amended to <br />include as an insured any person or organization <br />(referred to below as "vendor") shown in the <br />Schedule, but only with respect to "bodily injury" <br />or "property damage" arising out of "your <br />products" shown In the Schedule which are <br />distributed or sold in the regular course of the <br />vendor's business subject to the following <br />additional provisions: <br />1. The insurance afforded the vendor does not <br />apply to: <br />a. "Bodily injury" or "property damage" for <br />which the vendor is obligated to pay <br />damages by reason of the assumption of <br />liability in a contract or agreement. This <br />exclusion does not apply to liability for <br />damages that the vendor would have in <br />the absence of the contract or agree- <br />ment; <br />b. Any express warranty, or any distribution <br />or sale for a purpose unauthorized by <br />you; <br />c. Any physical or chemical change in the <br />product made intentionally by the ven- <br />dor; <br />d. Repackaging, unless unpacked solely for <br />the purpose of inspection, demonstra- <br />tion, testing, or the substitution of parts <br />under instructions from the manufac- <br />turer, and then repackaged in the <br />original container; <br />e. Demonstration, installation, servicing or <br />repair operations, except such opera- <br />tions performed at the vendor's premises <br />in connection with the sale of the <br />product; <br />f. Products which, after distribution or sale <br />by you, have been labeled or relabeled <br />or used as a container, part or ingredient <br />of any other thing or substance by or for <br />the vendor; <br />g. The sole negligence of the vendor. <br />2. This insurance does not apply to any insured <br />person or organization, from whom you have <br />acquired such products, or any ingredient, <br />part or container, entering into, accompany- <br />ing or containing such products, <br />Includes copyrighted material of insurance Services Office, Inc., with Its permission <br />CG T3 30 1188 (Rev. 12-95) Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1 <br />