CAZALES, RODOLFO DBA TOYAMA KARATE-DO ORGANIZATION 2-2017

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POLICY NUMBE :AH-GA26932-002 NAME INSURED : Toyama Karate Do COMMERCIAL GENERAL LIABILITY CG 20 15 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - VENDORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organizations) (Vendor) Your Products City of Santa Ana, product made intentionally by the vendor; its officers, agents, and employees d. Repackaging, except when unpacked solely 20 Civic Center Plaza Santa Ana , CA 92701 0d •r , i "your products" shown in the Schedule which are 90C-,ft�.JJ distributed or sold in the regular course of the ven- dor's aGNye� pig business, subject to the following additional .RAN, exclusions: 1� ..Information required to complete this Schedule, if not shown above will be shown in the Declarations. A. Section II — Who Is An Insured is amended to c. Any physical or chemical change in the include as an additional insured any person(s) or product made intentionally by the vendor; organization(s) (referred to below as vendor) shown in the Schedule, but only with respect to d. Repackaging, except when unpacked solely "bodily injury" or "property damage" arising out of for the purpose of inspection, demonstra- "your products" shown in the Schedule which are tion, testing, or the substitution of parts un- distributed or sold in the regular course of the ven- dor's der instructions from the manufacturer, and then repackaged in the original container; business, subject to the following additional exclusions: e. Any failure to make such inspections, ad - 1. The insurance afforded the vendor does not justments, tests or servicing as the vendor apply to: has agreed to make or normally undertakes a. "Bodily injury" or "property damage" for to make in the usual course of business, in connection with the distribution or sale of which the vendor is obligated to pay dam- the products; ages by reason of the assumption of liability in a contract or agreement. This exclusion f. Demonstration, installation, servicing or does not apply to liability for damages that repair operations, except such operations the vendor would have in the absence of the performed at the vendor's premises in con - contract or agreement; vection with the sale of the product; b. Any express warranty unauthorized by you; CG 20 15 07 04 © ISO Properties, Inc., 2004 Page 1 of 2 13