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If you have fulfilled all of the Additional Conditions set forth in Sections L. through IV. above and the independent contractor s andor subcontractor s Commercial General Liability insurer or insurers decline to defend you then we will undertake to do so for any covered claim. In that event you will fully cooperate with us in pursuing those insurers to assume the defense from us and reimburse us for any costs we incurred. AD 06 63 04 12 Page2 of 2
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Policy Number CA000027678 03 AD 073809 15 Effective Date 07012019 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. KNOWLEDGE OF OCCURRENCE This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE FORM The following paragraph is added to SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS Paragraph 2. Duties In The Event Of Occurrence Offense Claim or Suit or SECTION IV PRODUCTS COMPLETED OPERATIONS LIABILITY CONDITIONS Paragraph 2. Duties In The Event Of Occurrence Claim or Suit if applicable Notice of an occurrence which may result in a claim under this insurance shall be given as soon as practicable after knowledge of the occurrence has been reported to you one of your executive officers or any employee authorized by you to give or receive notice of an occurrence. Pagelofl O AD 073809 15
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Policy Number CA000027678 03 Policy Number CA000027678 03 THIS ENDORSE AD 07 40 02 07 Effective Date 07012019 NT CHANGES THE POLICY. PLEASE READ IT CARE FULLY. CROSS LIABILITY EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART It is agreed this insurance does not apply to 1 Any claim made or suit brought for dam ages or liability of any kind by any Named Insured or any employee volunteer worker temporary worker executive of ficer director stockholder partner or member of any Named Insured against any other Named Insured or any employee volunteer worker temporary worker executive officer director stockholder partner or member of any other Named In sured because of bodily injury property damage or personal and advertising inju ry or 2 Any claim made or suit brought for dam ages by the spouse child parent brother or sister of any employee volunteer work er temporary worker executive of ficer director stockholder partner or member of any Named Insured as a conse quence of 1 above. It is further agreed the Company shall not have the obligation to indemnify defend adjust investigate or pay any cost or expense of any kind for any claim made or suit brought which is excluded under the terms of this endorsement. 2 Any claim made or suit brought for dam ages by the spouse child parent brother or sister of any employee volunteer work er temporary worker executive of ficer director stockholder partner or member of any Named Insured as a conse quence of 1 above. It is further agreed the Company shall not have the obligation to indemnify defend adjust investigate or pay any cost or expense of any kind for any claim made or suit brought which is excluded under the terms of this endorsement. AD 07 40 02 07 Page 1 of 1
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Policy Number CA000027678 03 AD 07420915 Effective Date 07012019 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. UNINTENTIONAL ERRORS AND OMISSIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE FORM The following paragraph is added to SECTION IV COMERCIAL GENERAL LIABILITY CONDITIONS or SECTION IV PRODUCTS COMPLETED OPERATIONS LIABILITY CONDITIONS if applicable Paragraph 6. Representations However the unintentional omission of or unintentional error in any information given or provided by you shall not preju dice your rights under this insurance. However this provision does not affect our right to collect additional premium or to exercise our right of cancellation or non renewal. Pagelofl O AD 074209 15
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Policy Number CA000027678 03 AD 08420216 Effective Date 07012019 THIS ENDORSE NT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BODILY INJURY REDEFINED This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM OCCURRENCE VERSION COMMERCIAL GENERAL LIABILITY COVERAGE FORM CLAIMS MADE PRODUCTS AND COMPLETED OPERATIONS LIABILITY COVERAGE FORM OCCURRENCE VERSION PRODUCTS AND COMPLETED OPERATIONS LIABILITY COVERAGE FORM CLAIMS MADE VERSION LIQUOR LIABILITY COVERAGE OCCURRENCE VERSION LIQUOR LIABILITY COVERAGE CLAIMS MADE OWNER S AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM RAILROAD PROTECTIVE LIABILITY COVERAGE FORM EXCESS LIABILITY COVERAGE FORM UMBRELLA LIABILITY COVERAGE FORM The definition of bodily injury in DEFINITIONS is amended as follows Bodily injury means physical injury physical sickness or physical disease sustained by any one person including death resulting from any of these at any time. Bodily injury does not include shock or emotional mental or psychological distress injury trauma or anguish or other similar condition unless such condition results solely and directly from that one person s prior physical injury physical sickness or physical disease otherwise covered under this insurance. Pagelof1 O AD 08420216 Includes copyrighted material of Insurance Services Office Inc. with its permission 2016.
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POLICY NUMBER POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 20101001 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization M.A. MORTENSON COMPANY AND ALL OTHER PARTIES AS REQUESTED BY THE OWNER CONTRACT FOR WEST LINCOLN PINNACLE BANK ARENA PROJECT NO. 10150002 If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. A. Section Il Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds the following exclusion is added 2. Exclusions This insurance does not apply to bodily in Jury or property damage occurring after 1 All work including materials parts or 2 equipment furnished in connection with such work on the project other than service maintenance or repairs to be performed by or on behalf of the addi tional insureds at the site of the cov ered operations has been completed or That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another con tractor or subcontractor engaged in penorrm ations for a principal as. CONTRACT FOR WEST LINCOLN PINNACLE BANK ARENA 1 All work including materials parts or 2 equipment furnished in connection with such work on the project other than service maintenance or repairs to be performed by or on behalf of the addi tional insureds at the site of the cov ered operations has been completed or That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another con tractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20101001 1S0 Properties Inc. 2000 Page 1 of 1 a
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POLICY NUMBER POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 20371001 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization M.A. MORTENSON COMPANY AND ALL OTHER PARTIES AS REQUESTED BY THE OWNER CONTRACT FOR WEST LINCOLN PINNACLE BANK ARENA PROJECT NO. 10150002 Location And Description of Completed Operations WEST LINCOLN PINNACLE BANK ARENA PROJECT NO. 10150002 Additional Premium INCL. L If no entry appears above information required to complete this endorsement wili be shown in the Declarations as applicable to this endorsement. Section Il Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of your work at the location designated and described in the schedule of this endorsement performed for that insured and included in the products completed operations haz ard.. CONTRACT FOR WEST LINCOLN PINNACLE BANK ARENA VEST LINCOLN PINNACLE BANK ARENA PROJECT NO. 10150002 CG 20371001 ISO Properties Inc. 2000 Page 1 of 1 o
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COMMERCIAL GENERAL LIABILITY QUICK REFERENCE COMMERCIAL GENERAL LIABILITY COVERAGE FORM OCCURRENCE COVERAGE READ YOUR POLICY CAREFULLY DECLARATIONS PAGES Named Insured And Mailing Address Policy Period Description Of Business And Location Coverages And Limits Of Insurance SECTION COVERAGES Coverage A Insuring Agreement................ Bodily Injury And Property Damage Liability Exclusions.................. oo Coverage B Insuring Agreement.. Personal And Advertising Injury Liability Exclusions Coverage C Insuring Agreement.. Medical Payments Exclusions Supplementary Payments..................... SECTIONH WHOISANINSURED....................... iiiiiiiiiiiiinanan.s SECTION I LIMITSOF INSURANCE................. i SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS Bankruptcy.. Duties In The Event Of Occurrence Offense Claim OrSuit................................ Legal Action Against Us. Other Insurance Premium Audit................ Representations....... Separation Of Insureds. Transfer Of Rights Of Recovery Against Others To Us When We Do Not Renew.. SECTIONV DEFINITIONS.......... s COMMON POLICY CONDITIONS Cancellation Changes Examination Of Your Books And Records Inspections And Surveys Premiums Transfer Of Your Rights And Duties Under This Policy ENDORSEMENTS If Any Beginning on Page CG700310 08 Page 10f 1
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COMMERCIAL GENERAL LIABILITY CG 00011207 COMMERCIAL GENERAL LIABILITY COVERAGE FORM Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights duties and what is and is not covered. Throughout this policy the words you and your refer to the Named Insured shown in the Declarations and any other person or organization qualifying as a Named Insured under this policy. The words we us and our refer to the company providing this insurance. The word insured means any person or organization qualifying as such under Section Il Who Is An In sured. Other words and phrases that appear in quotation marks have special meaning. Refer to Section V Definitions. SECTION COVERAGES COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY 1. Insuring Agreement a. We will pay those sums that the insured be comes legally obligated to pay as damages because of bodily injury or property damage to which this insurance applies. We will have the right and duty to defend the insured against any suit seeking those damages. However we will have no duty to defend the insured against any suit seeking damages for bodily injury or property damage to which this in surance does not apply. We may at our discre tion investigate any occurrence and settle any claim or suit that may result. But 1 The amount we will pay for damages is limited as described in Section Nl Limits Of Insurance and 2 Our right and duty to defend ends when we have used up the applicable limit of insur ance in the payment of judgments or set tlements under Coverages A or B or medi cal expenses under Coverage C. No other obligation or liability to pay sums or perform acts or services is covered unless ex plicitly provided for under Supplementary Pay ments Coverages A and B. b. This insurance applies to bodily injury and property damage only if 1 The bodily injury or property damage is caused by an occurrence that takes place in the coverage territory The bodily injury or property damage occurs during the policy period and Prior to the policy period no insured listed under Paragraph 1. of Section Il Who Is An Insured and no employee authorized by you to give or receive notice of an oc currence or claim knew that the bodily in jury or property damage had occurred in whole or in part. If such a listed insured or authorized employee knew prior to the policy period that the bodily injury or property damage occurred then any con tinuation change or resumption of such bodily injury or property damage during or after the policy period will be deemed to have been known prior to the policy period. c. Bodily injury or property damage which occurs during the policy period and was not prior to the policy period known to have oc curred by any insured listed under Paragraph 1. of Section Il Who Is An Insured or any employee authorized by you to give or re ceive notice of an occurrence or claim in cludes any continuation change or resumption of that bodily injury or property damage af ter the end of the policy period. d. Bodily injury or property damage will be deemed to have been known to have occurred at the earliest time when any insured listed un der Paragraph 1. of Section Il Who Is An In sured or any employee authorized by you to give or receive notice of an occurrence or claim 1 Reports all or any part of the bodily injury or property damage to us or any other in surer 2 Receives a written or verbal demand or claim for damages because of the bodily injury or property damage or Becomes aware by any other means that podily injury or property damage has oc curred or has begun to occur. 2 3 3 Page1of16 O IS0 Propetties Inc. 2006 CG 00011207
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e. Damages because of bodily injury include damages claimed by any person or organiza tion for care loss of services or death resulting at any time from the bodily injury. 2. Exclusions This insurance does not apply to a. Expected Or Intended Injury Bodily injury or property damage expected or intended from the standpoint of the insured. This exclusion does not apply to bodily injury resulting from the use of reasonable force to protect persons or property. b. Contractual Liability Bodily injury or property damage for which the insured is obligated to pay damages by reason of the assumption of liability in a con tract or agreement. This exclusion does not apply to liability for damages 1 That the insured would have in the absence of the contract or agreement or 2 Assumed in a contract or agreement that is an insured contract provided the bodily injury or property damage occurs subse quent to the execution of the contract or agreement. Solely for the purposes of liabil ity assumed in an insured contract rea sonable attorney fees and necessary litiga tion expenses incurred by or for a party other than an insured are deemed to be damages because of bodily injury or property damage provided a Liability to such party for or for the cost of that party s defense has also been assumed in the same insured contract and Such attorney fees and litigation ex penses are for defense of that party against a civil or alternative dispute resolution proceeding in which damages to which this insurance applies are al leged. b c. Liquor Liability Bodily injury or property damage for which any insured may be held liable by reason of 1 Causing or contributing to the intoxication of any person 2 The furnishing of alcoholic beverages to a person under the legal drinking age or un der the influence of alcohol or 3 Any statute ordinance or regulation relating to the sale gift distribution or use of alco holic beverages. This exclusion applies only if you are in the business of manufacturing distributing selling serving or furnishing alcoholic beverages. d. Workers Compensation And Similar Laws Any obligation of the insured under a workers compensation disability benefits or unem ployment compensation law or any similar law. e. Employer s Liability Bodily injury to 1 An employee of the insured arising out of and in the course of a Employment by the insured or b Performing duties related to the conduct of the insured s business or 2 The spouse child parent brother or sister of that employee as a consequence of Paragraph 1 above. This exclusion applies whether the insured may be liable as an employer or in any other capacity and to any obligation to share dam ages with or repay someone else who must pay damages because of the injury. This exclusion does not apply to liability as sumed by the insured under an insured con tract. CG 00011207 a Page 2 of 16 ISO Properties Inc. 2006
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d Ator from any premises site or location on which any insured or any contractors or subcontractors working directly or in directly on any insured s behalf are per forming operations if the poliutants are brought on or to the premises site or lo cation in connection with such opera tions by such insured contractor or sub contractor. However this subparagraph does not apply to i Bodily injury or property damage arising out of the escape of fuels lu bricants or other operating fluids which are needed to perform the normal electrical hydraulic or me chanical functions necessary for the operation of mobile equipment or its parts if such fuels lubricants or other operating fluids escape from a vehicle part designed to hold store or receive them. This exception does not apply if the bodily injury or property damage arises out of the intentional discharge dispersal or re lease of the fuels lubricants or other operating fluids or if such fuels lu bricants or other operating fluids are brought on or to the premises site or location with the intent that they be discharged dispersed or released as part of the operations being per formed by such insured contractor or subcontractor ii Bodily injury or property damage sustained within a building and caused by the release of gases fumes or vapors from materials brought into that building in connec tion with operations being performed by you or on your behalf by a con tractor or subcontractor or iii Bodily injury or property damage arising out of heat smoke or fumes from a hostile fire. e At or from any premises site or location on which any insured or any contractors or subcontractors working directly or in directly on any insured s behalf are per forming operations if the operations are to test for monitor clean up remove contain treat detoxify or neutralize or in any way respond to or assess the ef fects of pollutants. f. Pollution. 1 Bodily injury or property damage arising out of the actual alleged or threatened dis charge dispersal seepage migration re lease or escape of poliutants a Atorfrom any premises site or location which is or was at any time owned or occupied by or rented or loaned to any insured. However this subparagraph does not apply to i Bodily injury if sustained within a building and caused by smoke fumes vapor or soot produced by or originating from equipment that is used to heat cool or dehumidify the building or equipment that is used to heat water for personal use by the building s occupants or their guests i Bodily injury or property damage for which you may be held liable if you are a contractor and the owner or lessee of such premises site or location has been added to your pol icy as an additional insured with re spect to your ongoing operations performed for that additional insured at that premises site or location and such premises site or location is not and never was owned or occupied by or rented or loaned to any in sured other than that additional in sured or Bodily injury or property damage arising out of heat smoke or fumes from a hostile fire b At or from any premises site or location which is or was at any time used by or for any insured or others for the han dling storage disposal processing or treatment of waste c Which are or were at any time trans ported handled stored treated dis posed of or processed as waste by or for i Any insured or i Any person or organization for whom you may be legally responsible or Page 3 of 16 u 1SO Properties Inc. 2006 CG 00011207
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2 Any loss cost or expense arising out of any a Request demand order or statutory or regulatory requirement that any insured or others test for monitor clean up re move contain treat detoxify or neutral ize or in any way respond to or assess the effects of pollutants or b Claim or suit by or on behalf of a gov ermnmental authority for damages be cause of testing for monitoring cleaning up removing containing treating de toxifying or neutralizing or in any way responding to or assessing the effects of pollutants. However this paragraph does not apply to liability for damages because of property damage that the insured would have in the absence of such request demand order or statutory or regulatory requirement or such claim or suit by or on behalf of a govern mental authority. g. Aircraft Auto Or Watercraft Bodily injury or property damage arising out of the ownership maintenance use or en trustment to others of any aircraft auto or wa tercraft owned or operated by or rented or loaned to any insured. Use includes operation and loading or unloading. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employ ment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage involved the ownership maintenance use or entrust ment to others of any aircraft auto or water craft that is owned or operated by or rented or loaned to any insured. This exclusion does not apply to 1 A watercraft while ashore on premises you own or rent 2 A watercraft you do not own that is a Less than 26 feet long and b Not being used to carry persons or property for a charge 3 Parking an auto on or on the ways next to premises you own or rent provided the auto is not owned by or rented or loaned to you or the insured 4 Liability assumed under any insured con tract for the ownership maintenance or use of aircraft or watercraft or 5 Bodily injury or property damage arising out of a The operation of machinery or equip ment that is attached to or part of a land vehicle that would qualify under the definition of mobile equipment if it were not subject to a compulsory or financial responsibility law or other motor vehicle insurance law in the state where it is li censed or principally garaged or the operation of any of the machinery or equipment listed in Paragraph f.2 or.3 of the definition of mobile equip ment. h. Mobile Equipment Bodily injury or property damage arising out of 1 The transportation of mobile equipment by an auto owned or operated by or rented or loaned to any insured or 2 The use of mobile equipment in or while in practice for or while being prepared for any prearranged racing speed demolition or stunting activity. i. War Bodily injury or property damage however caused arising directly or indirectly out of 1 War including undeclared or civil war 2 Warlike action by a military force including action in hindering or defending against an actual or expected attack by any govern ment sovereign or other authority using military personnel or other agents or Insurrection rebellion revolution usurped power or action taken by governmental au thority in hindering or defending against any of these. Damage To Property Property damage to 1 Property you own rent or occupy including any costs or expenses incurred by you or any other person organization or entity for repair replacement enhancement restora tion or maintenance of such property for any reason including prevention of injury to a person or damage to another s property Premises you sell give away or abandon if the property damage arises out of any part of those premises 3 Property loaned to you 4 Personal property in the care custody or control of the insured b 3 2 Page 4 of 16 ISO Properties Inc. 2006 CG 00011207
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POLICY NUMBER THIS ENDOF POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 20100704 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Locations Of Covered Operations Information required to complete this Schedule if not shown above wili be shown in the Declarations. A. Section I Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the persons or additional insureds the following additional exclu organizations shown in the Schedule but only sions apply with respect to liability for bodily injury property This insurance does not apply to bodily injury or damage or personal and advertising injury property damage occurrinpgpger Y injury caused in whole or in part by N N B B o 1. All work including materials parts or equip 1. Your acts or omissions or ment furnished in connection with such work 2. The acts or omissions of those acting on your on the project other than service maintenance behalf or repairs to be performed by or on behalf of in the performance of your ongoing operations for the additional 15ureds at the location of the the additional insureds at the locations desig covered operations has been completed or nated above. 2. That portion of your work out of which the injury or damage arises has been put to its in tended use by any person or organization other than another contractor or subcontractor en gaged in performing operations for a principal as a part of the same project. Page 1 of 1 n ISO Properties Inc. 2004 CG 20 10 07 04
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POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 2028 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED LESSOR OF LEASED EQUIPMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the persons or additional insureds this insurance does not apply organizations shown in the Schedule but only to any occurrence which takes place after the with respect to liability for bodily injury property equipment lease expires. damage or personal and advertising injury caused in whole or in part by your maintenance operation or use of equipment leased to you by such persons or organizations. POLICY NUMBER THIS ENDOF Page 1 of 1 o CG 20 28 07 04 IS0 Properties Inc. 2004
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POLICY NUMBER POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Location And Description Of Completed Opera tions Information required to complete this Schedule if not shown above will be shown in the Declarations. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury or property damage caused in whole or in part by your work at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the products completed operations hazard. ISO Properties Inc. 2004 Page 1 of 1 a CG 203707 04
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COMMERCIAL GENERAL LIABILITY CG 21471207 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMPLOYMENT RELATED PRACTICES EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability This insurance does not apply to Bodily injury to 1 A person arising out of any a Refusal to employ that person b Termination of that person s employment or c Employment related practices policies acts or omissions such as coercion demo tion evaluation reassignment discipline defamation harassment humiliation dis crimination or malicious prosecution di rected at that person or 2 The spouse child parent brother or sister of that person as a consequence of bodily injury to that person at whom any of the employment related practices described in Paragraphs a b or above is directed. This exclusion applies 1 Whether the injury causing event described in Paragraphs a b or c above occurs before employment during employment or after em ployment of that person 2 Whether the insured may be liable as an em ployer or in any other capacity and 3 To any obligation to share damages with or repay someone else who must pay damages because of the injury. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage B Per sonal And Advertising Injury Liability This insurance does not apply to Personal and advertising injury to 1 A person arising out of any a Refusal to employ that person b Termination of that person s employment or c Employment related practices policies acts or omissions such as coercion demo tion evaluation reassignment discipline defamation harassment humiliation dis crimination or malicious prosecution di rected at that person or 2 The spouse child parent brother or sister of that person as a consequence of personal and advertising injury to that person at whom any of the employment related practices described in Paragraphs a b or c above is directed. This exclusion applies 1 Whether the injury causing event described in Paragraphs a b or c above occurs before employment during employment or after em ployment of that person 2 Whether the insured may be liable as an em ployer or in any other capacity and 3 To any obligation to share damages with or repay someone else who must pay damages because of the injury. Page 1 of 1 IS0 Properties Inc. 2006 CG 21471207
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COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF LIQUOR LIABILITY EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Exclusion c. of COVERAGE A Section is replaced by the following c. Bodily injury or property damage for which any insured may be held liable by reason of 1 Causing or contributing to the intoxica tion of any person 2 The furnishing of alcoholic beverages to a person under the legal drinking age or under the influence of alcohol or 3 Any statute ordinance or regulation relating to the sale gift distribution or use of alcoholic beverages. This exclusion applies only if you 1 Manufacture sell or distribute alcoholic beverages 2 Serve or furnish alcoholic beverages for a charge whether or not such activity a Requires a license b Is for the purpose of financial gain or livelihood or 3 Serve or furnish alcoholic beverages without a charge if a license is required for such activity. Copyright Insurance Services Office Inc. 1988 CG 2150 09 89 Page 1 of 1
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POLICY NUMBER POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 21540196 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION DESIGNATED OPERATIONS COVERED BY A CONSOLIDATED WRAP UP INSURANCE PROGRAM This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Description and Location of Operations If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. The following exclusion is added to paragraph 2. Exclusions of COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY Section Cover ages This insurance does not apply to bodily injury or property damage arising out of either your ongoing operations or operations included within the products completed operations hazard at the location de scribed in the Schedule of this endorsement as a consolidated wrap up insurance program has been provided by the prime contractor project manager or owner of the construction project in which you are involved. This exclusion applies whether or not the consolidated wrap up insurance program 1 Provides coverage identical to that provided by this Coverage Part 2 Has limits adequate to cover all claims or 3 Remains in effect. Copyright Insurance Services Office Inc. 1994 Page 1of 1 CG 21540196
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COMMERCIAL GENERAL LIABILITY CG 21671204 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FUNGI OR BACTERIA EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability 2. Exclusions This insurance does not apply to Fungi Or Bacteria a. Bodily injury or property damage which would not have occurred in whole or in part but for the actual alleged or threatened in halation of ingestion of contact with expo sure to existence of or presence of any fungi or bacteria on or within a building or structure including its contents regardless of whether any other cause event material or product contributed concurrently or in any sequence to such injury or damage. b. Any loss cost or expenses arising out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating or disposing of or in any way responding to or assessing the effects of fungi or bacteria by any insured or by any other person or entity. This exclusion does not apply to any fungi or bacteria that are are on or are contained in a good or product intended for bodily consump tion. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage B Per sonal And Advertising Injury Liability 2. Exclusions This insurance does not apply to Fungi Or Bacteria a. Personal and advertising injury which would not have taken place in whole or in part but for the actual alleged or threat ened inhalation of ingestion of contact with exposure to existence of or presence of any fungi or bacteria on or within a building or structure including its contents regardless of whether any other cause event material or product contributed con currently or in any sequence to such injury. b. Any loss cost or expense arising out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating or disposing of or in any way responding to or assessing the effects of fungi or bacteria by any insured or by any other person or entity. C. The following definition is added to the Definitions Section Fungi means any type or form of fungus includ ing mold or mildew and any mycotoxins spores scents or byproducts produced or released by fungi. ISO Properties Inc. 2003 CG 21671204 Page 1 of 1 o
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COMMERCIAL GENERAL LIABILITY CG 21700108 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY If aggregate insured losses attributable to terrorist acts certified under the federal Terrorism Risk Insur ance Act exceed 100 billion in a Program Year January 1 through December 31 and we have met our insurer deductible under the Terrorism Risk Insur ance Act we shall not be liable for the payment of any portion of the amount of such losses that exceeds 100 billion and in such case insured losses up to that amount are subject to pro rata allocation in ac cordance with procedures established by the Secre tary of the Treasury. Certified act of terrorism means an act that is certi fied by the Secretary of the Treasury in concurrence with the Secretary of State and the Attorney General of the United States to be an act of terrorism pursu ant to the federal Terrorism Risk Insurance Act. The criteria contained in the Terrorism Risk Insurance Act for a certified act of terrorism include the following 1. The act resulted in insured losses in excess of 5 million in the aggregate attributable to all types of insurance subject to the Terrorism Risk Insurance Act and 2. The act is a violent act or an act that is dangerous to human life property or infrastructure and is committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. ISO Properties Inc. 2007 Page 1 of 1 o CG21700108
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG 20 37 07 04 OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS NAME OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS TO INCLUDE 1 BROOKFIELD DTLA HOLDINGS LLC 2 601 FIGUEROA CO. LLC 3 BROOKFIELD PROPERTIES MANAGEMENT CA INC. AND THEIR RESPECTIVE AFFILIATES SHAREHOLDERS MEMBERS INCLUDING MEMBERS OF MEMBERS PARTNERS INCLUDING PARTNERS OF PARTNERS SUBSIDIARIES AND RELATED ENTITIES AND EACH OF THEIR RESPECTIVE SUCCESSORS AND ASSIGNS AND TEACHERS INSURANCE AND ANNUITY ASSOCIATION OF AMERICA AND MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY COLLECTIVELY AS LENDER AND EACH OF THEIR RESPECTIVE SUCCESSORS AND ASSIGNS 4 PREFERRED BANK 5 TASLIMI CONSTRUCTION COMPANY INC LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS 601 SOUTH FIGUEROA STREET LOS ANGELES CA 90017 JOB NO. 18 3703 Page 1 CG T8 00
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG 20 37 07 04 OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS NAME OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS TO INCLUDE PREMIER DESIGN BUILD GROUP C O ASSURANCE AGENCY 1750 E. GOLF ROAD STE 1100 SCHAUMBURG IL 60173 LOCATION PDBG SOUTHWEST DIVISION 1827 PACIFIC COAST COLLECTION PHASE II OCEANSIDE CA Page 2 CG T8 00
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG D3 61 03 05 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION NAMES OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS TO INCLUDE 1 BROOKFIELD DTLA HOLDINGS LLC 2 601 FIGUEROA CO. LLC 3 BROOKFIELD PROPERTIES MANAGEMENT CA INC. AND THEIR RESPECTIVE AFFILIATES SHAREHOLDERS MEMBERS INCLUDING MEMBERS OF MEMBERS PARTNERS INCLUDING PARTNERS OF PARTNERS SUBSIDIARIES AND RELATED ENTITIES AND EACH OF THEIR RESPECTIVE SUCCESSORS AND ASSIGNS AND TEACHERS INSURANCE AND ANNUITY ASSOCIATION OF AMERICA AND MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY COLLECTIVELY AS LENDER AND EACH OF THEIR RESPECTIVE SUCCESSORS AND ASSIGNS 4 PREFERRED BANK 5 TASLIMI CONSTRUCTION COMPANY INC. LOCATION OF COVERED OPERATIONS 601 SOUTH FIGUEROA STREET LOS ANGELES CA 90017 JOB NO. 18 3703 Page 1 CGT8 01
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG D3 61 03 05 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION NAMES OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS TO INCLUDE PREMIER DESIGN BUILD GROUP C O ASSURANCE AGENCY 1750 E. GOLF ROAD STE 1100 SCHAUMBURG IL 60173 LOCATION PDBG SOUTHWEST DIVISION 1827 PACIFIC COAST COLLECTION PHASE II OCEANSIDE CA Page 2 CGT8 01
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS CG 20 37 07 04 THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS PACIFIC NATIONAL GROUP CEDARS SINAI MEDICAL CENTER VENTANA MEDICAL CENTER LP OWNER AND ITS SUCCESSORS AND OR ASSIGNS AND TRISTAR REALTY GROUP LLC AS MANAGER AND ITS SUCCESSORS AND OR ASSIGNS LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS PNG JOB 179300 Page 1 CG T8 02
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS CG 20 37 07 04 THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS PACIFIC NATIONAL GROUP CEDARS SINAI MEDICAL CENTER VENTANA MEDICAL CENTER LP OWNER AND ITS SUCCESSORS AND OR ASSIGNS AND TRISTAR REALTY GROUP LLC AS MANAGER AND ITS SUCCESSORS AND OR ASSIGNS LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS PNG JOB 183866 Page 2 CG T8 02
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION CG D3 61 03 05 THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF ADDITIONAL INSURED PERSONS OR ORGANIZATION S PACIFIC NATIONAL GROUP CEDARS SINAI MEDICAL CENTER VENTANA MEDICAL CENTER LP OWNER AND ITS SUCCESSORS AND OR ASSIGNS AND TRISTAR REALTY GROUP LLC AS MANAGER AND ITS SUCCESSORS AND OR ASSIGNS LOCATION OF COVERED OPERATIONS PNG JOB 179300 Page 1 CGT803
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION CG D3 61 03 05 THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF ADDITIONAL INSURED PERSONS OR ORGANIZATION S PACIFIC NATIONAL GROUP CEDARS SINAI MEDICAL CENTER VENTANA MEDICAL CENTER LP OWNER AND ITS SUCCESSORS AND OR ASSIGNS AND TRISTAR REALTY GROUP LLC AS MANAGER AND ITS SUCCESSORS AND OR ASSIGNS LOCATION OF COVERED OPERATIONS PNG JOB 183866 Page 2 CGT803
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG D3 61 03 05 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION NAME OF PERSON OR ORGANIZATION TO INCLUDE NAMES OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS OWNER SKANSKA USA BUILDING INC. SKANSKA USA INC. INDEMNIFIED PARTIES ANY OTHER PARTIES AS REQUIRED BY THE OWNER CONTRACT AND THEIR RESPECTIVE DIRECTORS OFFICERS EMPLOYESS EXCEPT ANY ARCHITECT ENGINEER OR SURVEYOR. PROJECT ADDRESS LOMA LINDA BUILDING 197 197 CAROLINE STREET SAN BERNARDINO CA 92408. PROJECT 4318024 Page 1 CG T804
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG D3 61 03 05 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION NAME OF PERSON OR ORGANIZATION TO INCLUDE NAMES OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS DPR CONSTRUCTION THE GENERAL CONTRACTOR THEIR OFFICERS AND EMPLOYEES ALKMENA MAGNVS LAP LLC THE RATKOVICH COMPANY EGW ASSET MANAGEMENT INC. GOOGLE LLC. AND CBRE INC. LOCATION OF COVERED OPERATIONS PROJECT ADDRESS GOOGLE SPRUCE GOOSE EXPERIENCE CENTER 5865 S. CAMPUS CENTER DR LOS ANGELES 90094 2402 PROJECT DPR JOB D1 B18065 00 Page 2 CG T804
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG D3 61 03 05 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION NAME OF PERSON OR ORGANIZATION TO INCLUDE NAMES OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS DPR CONSTRUCTION THE GENERAL CONTRACTOR THEIR OFFICERS EMPLOYEES CALIFORNIA LOTTERY COMMISSION THE OWNER THEIR OFFICERS AND EMPLOYEES ARE NAMED AS AN ADDITIONAL INSURED UNDER THIS POLICY BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF OPERATIONS PERFORMED ON THE CALIFORNIA LOTTERY CHATSWORTH DISTRICT OFFICE PROJECT DPR PROJECT D1 B17036 00. LOCATION OF COVERED OPERATIONS PROJECT ADDRESS CALIFORNIA LOTTERY CHATSWORTH DISTRICT OFFICE 9710 TOPANGA CANYON BLVD. CHATSWORTH CA 91311 4015 PROJECT DPR JOB D1 B17036 00 Page 3 CG T804
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG D3 61 03 05 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION NAME OF PERSON OR ORGANIZATION TO INCLUDE NAMES OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS DPR Construction the General Contractor their officers employees california Lottery Commission the Owner their officers and employees are named as an additional insured under this policy but only with respect to liability arising out of operations performed on the California Lottery Costa Mesa District Office project DPR Project D1 B17035 00. LOCATION OF COVERED OPERATIONS 235 Baker Street East Costa Mesa CA 92626 4504. DPR Project D1 B17035 00. Page 4 CG T804
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG D3 61 03 05 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION NAME OF PERSON OR ORGANIZATION TO INCLUDE NAMES OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS C.W. DRIVER LLC THE STATE OF CALIFORNIA THE TRUSTEES OF THE CALIFORNIA STATE UNIVERSITY THE UNIVERSITY CALIFORNIA STATE UNIVERSITY DOMINGUEZ HILLS THEIR OFFICERS EMPLOYEES REPRESENTATIVES VOLUNTEERS AGENTS ALLIANT INSURANCE SERVICES AND ANY OTHER PARTIES REQUIRED BY CONTRACT. LOCATION OF COVERED OPERATIONS PROJECT 190009 CSUDH INNOVATION AND INSTRUCTION BUILDING PHASE III CONSTRUCTION Page 5 CG T804
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG D3 73 11 05 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS NAME OF PERSON OR ORGANIZATION TO INCLUDE NAME OF PERSON OR ORGANIZATION OWNER SKANSKA USA BUILDING INC. SKANSKA USA INC. INDEMNIFIED PARTIES ANY OTHER PARTIES AS REQUIRED BY THE OWNER CONTRACT AND THEIR RESPECTIVE DIRECTORS OFFICERS EMPLOYESS EXCEPT ANY ARCHITECT ENGINEER OR SURVEYOR. PROJECT ADDRESS LOMA LINDA BUILDING 197 197 CAROLINE STREET SAN BERNARDINO CA 92408. PROJECT 4318024 Page 1 CG T8 05
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG D3 73 11 05 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS NAME OF PERSON OR ORGANIZATION TO INCLUDE NAME OF PERSON OR ORGANIZATION DPR CONSTRUCTION THE GENERAL CONTRACTOR THEIR OFFICERS AND EMPLOYEES ALKMENA MAGNVS LAP LLC THE RATKOVICH COMPANY EGW ASSET MANAGEMENT INC. GOOGLE LLC. AND CBRE INC. PROJECT ADDRESS GOOGLE SPRUCE GOOSE EXPERIENCE CENTER 5865 S. CAMPUS CENTER DR LOS ANGELES 90094 2402 PROJECT DPR JOB D1 B18065 00 Page 2 CG T8 05
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG D3 73 11 05 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS NAME OF PERSON OR ORGANIZATION TO INCLUDE NAME OF PERSON OR ORGANIZATION DPR CONSTRUCTION THE GENERAL CONTRACTOR THEIR OFFICERS EMPLOYEES CALIFORNIA LOTTERY COMMISSION THE OWNER THEIR OFFICERS AND EMPLOYEES ARE NAMED AS AN ADDITIONAL INSURED UNDER THIS POLICY BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF OPERATIONS PERFORMED ON THE CALIFORNIA LOTTERY CHATSWORTH DISTRICT OFFICE PROJECT DPR PROJECT D1 B17036 00. PROJECT ADDRESS CALIFORNIA LOTTERY CHATSWORTH DISTRICT OFFICE 9710 TOPANGA CANYON BLVD. CHATSWORTH CA 91311 4015 PROJECT DPR JOB D1 B17036 00 Page 3 CG T8 05
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG D3 73 11 05 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS NAME OF PERSON OR ORGANIZATION TO INCLUDE NAME OF PERSON OR ORGANIZATION DPR Construction the General Contractor their officers employees California Lottery Commission the Owner their officers and employees are named as an additional insured under this policy but only with respect to liability arising out of operations performed on the California Lottery Costa Mesa District Office project DPR Project D1 B17035 00. PROJECT ADDRESS 235 Baker Street East Costa Mesa CA 92626 4504. DPR Project D1 B17035 00. Page 4 CG T8 05
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG 20 37 07 04 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS NAME OF PERSON OR ORGANIZATION TO INCLUDE DPR CONSTRUCTION THE GENERAL CONTRACTOR THEIR OFFICERS EMPLOYEES AND ANY OTHER PERSON OR ORGANIZATION EXCEPT ANY ARCHITECT ENGINEER OR SURVEYOR THAT A WRITTEN CONTRACT WITH DPR CONSTRUCTION THE GENERAL CONTRACTOR THEIR OFFICERS AND EMPLOYEES SPECIFICALLY REQUIRES YOU TO INCLUDE AS AN ADDITIONAL INSURED ON THIS COVERAGE PART FOR BODILY INJURY OR PROPERTY DAMAGE INCLUDED IN THE PRODUCTS COMPLETED OPERATIONS HAZARD PROVIDED THAT SUCH CONTRACT WAS SIGNED AND EXECUTED BY YOU BEFORE AND IS IN EFFECT WHEN THE BODILY INJURY OR PROPERTY DAMAGE OCCURS. ADDRESS OF CERT HOLDER 4665 MACARTHUR COURT SUITE 100 NEWPORT BEACH CA 92660. LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS ANY PROJECT TO WHICH AN APPLICABLE WRITTEN CONTRACT DESCRIBED IN THE NAME OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS SECTION OF THIS SCHEDULE APPLIES. Page 1 CG T8 06
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG D3 61 03 05 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION NAME OF PERSON OR ORGANIZATION TO INCLUDE DPR CONSTRUCTION THE GENERAL CONTRACTOR THEIR OFFICERS EMPLOYEES AND ANY OTHER PERSON OR ORGANIZATION EXCEPT ANY ARCHITECT ENGINEER OR SURVEYOR THAT YOU AGREE IN A WRITTEN CONTRACT WITH DPR CONSTRUCTION THE GENERAL CONTRACTOR THEIR OFFICERS AND EMPLOYEES TO INCLUDE AS AN ADDITIONAL INSURED ON THIS COVERAGE PART PROVIDED THAT SUCH WRITTEN CONTRACT WAS SIGNED AND EXECUTED BY YOU BEFORE AND IS IN EFFECT WHEN THE BODILY INJURY OR PROPERTY DAMAGE OCCURS OR THE PERSONAL INJURY OR ADVERTISING INJURY OFFENSE IS COMMITTED. ADDRESS OF CERT HOLDER 4665 MACARTHUR COURT SUITE 100 NEWPORT BEACH CA 92660. LOCATION OF COVERED OPERATIONS ANY PROJECT TO WHICH AN APPLICABLE WRITTEN CONTRACT DESCRIBED IN THE NAMES OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS SECTION OF THIS SCHEDULE APPLIES. Page 1 CG T8 07
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG D3 61 03 05 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION NAME OF PERSON OR ORGANIZATION TO INCLUDE DPR CONSTRUCTION THE GENERAL CONTRACTOR THEIR OFFICERS EMPLOYEES CALIFORNIA LOTTERY COMMISSION THE OWNER THEIR OFFICERS AND EMPLOYEES ARE NAMED AS AN ADDITIONAL INSURED UNDER THIS POLICY BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF OPERATIONS PERFORMED ON THE CALIFORNIA LOTTERY COSTA MESA DISTRICT OFFICE PROJECT DPR PROJECT D1 B17035 00. LOCATION OF COVERED OPERATIONS 235 BAKER STREET EAST COSTA MESA CA 92626 4504. Page 1 CG T8 08
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG D3 73 11 05 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS NAME OF PERSON OR ORGANIZATION TO INCLUDE DPR CONSTRUCTION THE GENERAL CONTRACTOR THEIR OFFICERS EMPLOYEES CALIFORNIA LOTTERY COMMISSION THE OWNER THEIR OFFICERS AND EMPLOYEES ARE NAMED AS AN ADDITIONAL INSURED UNDER THIS POLICY BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF OPERATIONS PERFORMED ON THE CALIFORNIA LOTTERY COSTA MESA DISTRICT OFFICE PROJECT DPR PROJECT D1 B17035 00. LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS 235 BAKER STREET EAST COSTA MESA CA 92626 4504. Page 1 CGT809
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG D3 73 11 05 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS NAME OF PERSON OR ORGANIZATION TO INCLUDE BNBUILDERS INC. FACEBOOK INC. AND ITS OFFICERS DIRECTORS STOCKHOLDERS EMPLOYEES AFFILIATES SUBSIDIARIES RELATED ENTITIES PARENT COMPANY AND AGENTS. PV CAMPUS PARCEL 1 L.P. AND PV CAMPUS PARCEL 2 L.P. TISHMAN SPEYER PROPERTIES L.P. TISHMAN SPEYER DEVELOPMENT LLC KEVIN DALY ARCHITECTS 2233 112TH AVE NE BELLEVUE WA 98004 LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS 12105 WATERFRONT DRIVE LOS ANGELES CA 90094 Page 2 CGT809
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG D3 61 03 05 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION NAME OF PERSON OR ORGANIZATION TO INCLUDE C.W. DRIVER LLC 11879 SEBASTION WAY SUITE 101 RANCHO CUCAMONGA CA 91730 LOCATION OF COVERED OPERATIONS PROJECTPROJECT NAME 190009 CSUDH INNOVATION INSTRUCTION II PHASE III CONSTRUCTION. Page 1 CG T8 10
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON OR ORGANIZATION 1 BROOKFIELD DTLA HOLDINGS LLC 2 601 FIGUEROA CO. LLC 3 BROOKFIELD PROPERTIES MANAGEMENT CA INC. AND THEIR RESPECTIVE AFFILIATES SHAREHOLDERS MEMBERS INCLUDING MEMBERS OF MEMBERS PARTNERS INCLUDING PARTNERS OF PARTNERS SUBSIDIARIES AND RELATED ENTITIES AND EACH OF THEIR RESPECTIVE SUCCESSORS AND ASSIGNS AND TEACHERS INSURANCE AND ANNUITY ASSOCIATION OF AMERICA AND MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY COLLECTIVELY AS LENDER AND EACH OF THEIR RESPECTIVE SUCCESSORS AND ASSIGNS 4 HOTCHKIS AND WILEY CAPITAL MANAGEMENT LLC 5 TASLIMI CONSTRUCTION COMPANY INC. Page 1 CGT812
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG 20 10 10 01 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION NAME OF PERSON OR ORGANIZATION TO INCLUDE DPR CONSTRUCTION A GENERAL PARTNERSHIP THE GENERAL CONTRACTOR THEIR OFFICERS EMPLOYEES EDWARD LIFESCIENCES LLC THE OWNER THEIR OFFICERS AND EMPLOYEES LOCATION AND DURATION OF PROJECT DPR PROJECT D1 B19036 00 EDWARDS LIFE SCIENCE BUILDINGS AB ONE EDWARDS WAY IRVINE CA 92614 Page 1 CGT8 14
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG 20 37 07 04 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS NAME OF PERSON OR ORGANIZATION TO INCLUDE DPR CONSTRUCTION A GENERAL PARTNERSHIP THE GENERAL CONTRACTOR THEIR OFFICERS EMPLOYEES EDWARD LIFESCIENCES LLC THE OWNER THEIR OFFICERS AND EMPLOYEES LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS DPR PROJECT D1 B19036 00 EDWARDS LIFE SCIENCE BUILDINGS AB ONE EDWARDS WAY IRVINE CA 92614 Page 1 CGT8 15
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG 20 37 07 04 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS NAME OF PERSON OR ORGANIZATION TO INCLUDE DPR CONSTRUCTION A GENERAL PARTNERSHIP THE GENERAL CONTRACTOR THEIR OFFICERS EMPLOYEES EDWARD LIFESCIENCES LLC THE OWNER THEIR OFFICERS AND EMPLOYEES LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS DPR PROJECT D1 B19036 00 EDWARDS LIFE SCIENCE BUILDINGS AB ONE EDWARDS WAY IRVINE CA 92614 Page 2 CGT8 15
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG 20 37 07 04 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS NAME OF PERSON OR ORGANIZATION TO INCLUDE HITT CONTRACTING INC. C O CERTFOCUS P.O. BOX 140528 KANSAS CITY MO 64114 LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS HITT CONTRACTING INC. Page 1 CGT8 16
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG 20 37 07 04 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS NAME OF PERSON OR ORGANIZATION TO INCLUDE DPR CONSTRUCTION A GENERAL PARTNERSHIP THE GENERAL CONTRACTOR THEIR OFFICERS EMPLOYEES TARBUT VTORAH COMMUNITY THE OWNER THEIR OFFICERS AND EMPLOYEES. LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS TARBUT VTORAH CAMPUS MASTERPLAN 5 FEDERATION WAY IRVINE CA 92603 0100 Page 2 CGT8 16
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG 20 37 07 04 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS NAME OF PERSON OR ORGANIZATION TO INCLUDE 1. HOWARD BUILDING CORPORATION IT S OFFICERS DIRECTORS EMPLOYEES AND THE OWNER 2. BOARDWALK OFFICE ASSOCIATES LLC 3. TC CPT BOARDWALK LLC 4. TRAMMELL CROW COMPANY 5. CBRE INC. 6. AEW CAPITAL MANAGEMENT L.P. 7. MCDONALDS 8. BCCI 9. STRUCTURE TONE LLC LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS HBC 1 19 10003 MCDONALDS 18565 JAMBOREE RD. SUITE 850 IRVINE CA 92612 Page 3 CGT8 16
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG 20 37 07 04 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS NAME OF PERSON OR ORGANIZATION TO INCLUDE DRIVER SPG AND WINDWARD SCHOOL. LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS PROJECT SP1905 WINDWARD SCHOOL. Page 4 CGT8 16
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG 20 37 07 04 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS NAME OF PERSON OR ORGANIZATION TO INCLUDE DPR CONSTRUCTION A GENERAL PARTNERSHIP THEIR OFFICERS EMPLOYEES CALIFORNIA LOTTERY COMMISSION THE OWNER THEIR OFFICERS AND EMPLOYEES LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS D1 B17035 00 CA LOTTERY COSTA MESA OFFICE Page 5 CGT8 16
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG 20 37 07 04 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS NAME OF PERSON OR ORGANIZATION TO INCLUDE FSP SOUTH FLOWER STREET ASSOCIATES LLC THE STATE OF CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM AGENCY OF THE STATE OF CALIFORNIA COMMONWEALTH PARTNERS MANAGEMENT SERVICES L.P. FIFTH STREET PROPERTIES LLC COMMONWEALTH PACIFIC LLC AND THEIR RESPECTIVE MEMBERS MANAGERS PARTNERS OFFICERS DIRECTORS AFFILIATES AGENTS REPRESENTATIVES EMPLOYEES SUCCESSORS AND ASSIGNEES LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS CITY NATIONAL PLAZA. Page 6 CGT8 16
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG 20 37 07 04 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS NAME OF PERSON OR ORGANIZATION TO INCLUDE 8740 LA TIJERA LA LLC CIM GROUP LLC AND THEIR OFFICERS DIRECTORS EMPLOYEES DIVISIONS SUBSIDIARIES PARTNERS MEMBERS MANAGERS SHAREHOLDERS AFFILIATED COMPANIES AND MORTGAGEES LENDERS.AND SUCH OTHER PERSONS AS MAY FROM TIME TO TIME BE DESIGNATED BY THE OWNER IN WRITING LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS 8740 LA TIJERA 8740 LA TIJERA BOULEVARD LOS ANGELES CA 90045 Page 7 CGT8 16
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG 20 37 07 04 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS NAME OF PERSON OR ORGANIZATION TO INCLUDE PREMIER DESIGN BUILD GROUP LLC FIRST INDUSTRIAL L.P. FR THE RANCH LLC AND FR JH 10 LLC LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS JOB1877 FIRST PERRY LOGISTICS 353 PERRY STREET PERRIS CA 92571 Page 8 CGT8 16
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG 20 37 07 04 ADDITIONAL INSURED OWNERS LESSEES CONTRACTORS COMPLETED OPERATIONS NAME OF PERSON OR ORGANIZATION TO INCLUDE PALLADIN RISK MANAGEMENT 1010 WILSHIRE BLVD. LOS ANGELES CA 90010 LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS RE 700 MANHATTEN OR Page 9 CGT8 16
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG 20 37 07 04 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS NAME OF PERSON OR ORGANIZATION TO INCLUDE 1. HOWARD BUILDING CORPORATION IT S OFFICERS DIRECTORS EMPLOYEES AND THE OWNER 2. BOARDWALK OFFICE ASSOCIATES LLC 3. TC CPT BOARDWALK LLC 4. TRAMMELL CROW COMPANY 5. CBRE INC. 6. AEW CAPITAL MANAGEMENT L.P. LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS RUTAN TUCKER LLP ANY AND ALL WORK LOCATED AT 18565 OR 18575 JAMBOREE IRVINE CA 92612 Page 10 CGT8 16
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG 20 37 07 04 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS NAME OF PERSON OR ORGANIZATION TO INCLUDE DPR CONSTRUCTION A GENERAL PARTNERSHIP THE GENERAL CONTRACTOR THEIR OFFICERS EMPLOYEES ALEXANDRIA REAL ESTATE EQUITIES OWNER THEIR OFFICERS EMPLOYEES. LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS DPR JOB D1 B19026 00 AREE 1290 RANCHO CONEJO NEWBURY PARK CA 91403 Page 11 CGT8 16
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG 20 37 07 04 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS NAME OF PERSON OR ORGANIZATION TO INCLUDE DPR CONSTRUCTION A GENERAL PARTNERSHIP THE GENERAL CONTRACTOR THEIR OFFICERS EMPLOYEES HARVEY MUDD COLLEGE NEW ACADEMIC BUILDING 1 THE OWNER THEIR OFFICERS AND EMPLOYEES 4665 MACARTHUR COURT SUITE 100 NEWPORT BEACH CA 92660 LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS DPR JOB D1 B18059 00 HARVEY MUDD COLLEGE MCGREGOR CS CENTER 201 PLATT BLVD CLAREMONT CA 91711. Page 12 CGT8 16
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG 20 37 07 04 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS NAME OF PERSON OR ORGANIZATION TO INCLUDE DRIVER SPG LLC WINDWARD SCHOOL AND THEIR RESPECTIVE OFFICERS EMPLOYEES AND AGENTS LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS PROJECT SP2001 WINDWARD SCHOOL MISC. 2020 11350 PALMS BLVD LOS ANGELES CA 90066 Page 13 CGT8 16
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG 20 37 07 04 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS NAME OF PERSON OR ORGANIZATION TO INCLUDE PACIFIC NATIONAL GROUP AND CHILDREN S HOSPITAL OF LOS ANGELES AND ALL OTHERS AS REQUIRED BY CONTRACT OR WRITTEN AGREEMENT LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS PNG JOB 194119 CHLA RESEARCH AQUATIC FACILITY 4650 SUNSET BLVD. LOS ANGELES CA 90027 Page 1 CGT817
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COMMERCIAL GENERAL LIABILITY GENERAL PURPOSE ENDORSEMENT POLICY NUMBER Y630 8L314749 TIL20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED CONTINUED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART AMENDING SCHEDULE OF CG 20 37 07 04 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS NAME OF PERSON OR ORGANIZATION TO INCLUDE PACIFIC NATIONAL GROUP CEDARS SINAI MEDICAL CENTER VENTANA MEDICAL CENTER LP OWNER AND ITS SUCCESSORS AND OR ASSIGNS AND TRISTAR REALTY GROUP LLC AS MANAGER AND ITS SUCCESSORS. LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS PNG JOB 210011 SUBCONTRACT NO. 210011 80 0013 PROJECT CSMC 18133 VENTURA BLVD 4TH FL ORTHO 18133 VENTURA BLVD TARZANA CA 91356. Page 2 CGT817
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY TOTAL GENERAL AGGREGATE LIMIT DESIGNATED PROJECTS GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Total General Aggregate Limit 2000000 Designated Projects EACH PROJECT FOR WHICH YOU HAVE AGREED IN A WRITTEN CONTRACT THAT IS IN EFFECT DURING THIS POLICY PERIOD TO PROVIDE A SEPARATE GENERAL AGGREGATE LIMIT PROVIDED THAT THE CONTRACT IS SIGNED AND EXECUTEDBY YOU BEFORE THE BODILY INJURY OR PROPERTY DAMAGE OCCURS. If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. A. The Total General Aggregate Limit stated in the Schedule above is the most we will pay for the sum of all 1. 2. 3. Medical Expenses under COVERAGE C SECTION I Damages under COVERAGE A SECTION 1 except damages because of bodily injury or property damage included in the products completed operations hazard and Damages under COVERA GE B SECTION I regardless of the number of a. b. d. Insureds Claims made or suits brought Persons or organizations making claims or bringing suits or Designated projects listed in the SCHED ULE above. B. For all sums which the insured becomes legally obligated to pay as damages caused by occur rences under COVERAGE A SECTION 1 and for all medical expenses caused by accidents un der COVERAGE C SECTION 1 which can be at tributed only to operations at a single designated project shown in the Schedule above A separate Designated Project General Ag gregate Limit applies to each designated pro ject and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. Subject to the Total General Aggregate Limit stated in the Schedule above the Designated Project General Aggregate Limit is the most we will pay for the sum of all damages under COVERAGE A except damages because of bodily injury or property damage included in the products completed operations haz ard and for medical expenses under COV ERAGE C regardless of the number of a. Insureds b. Claims made or suits brought or c. Persons or organizations making claims or bringing suits. der COVERAGE C SECTION 1 which can be at tributed only to operations at a single designated project shown in the Schedule above 1. A separate Designated Project General Ag gregate Limit applies to each designated pro ject and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. 2. Subject to the Total General Aggregate Limit stated in the Schedule above the Designated Project General Aggregate Limit is the most we will pay for the sum of all damages under COVERAGE A except damages because of bodily injury or property damage included in the products completed operations haz ard and for medical expenses under COV ERAGE C regardless of the number of a. Insureds b. Claims made or suits brought or c. Persons or organizations making claims or bringing suits. Copyright The Travelers Indemnity Company 2004 Page 1 of 2 CG D3 210104
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COMMERCIAL GENERAL LIABILITY 3. Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce both the Total General Aggregate Limit stated in the Schedule above and the Designated Project General Aggregate Limit for that designated project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Project General Aggregate Limit for any other designated project shown in the Schedule above. The limits shown in the Declarations for Each Occurrence Damage To Premises Rented To You and Medical Expense continue to apply. However instead of being subject to the General Aggregate Limit shown in the Decla rations such limits will be subject to both the Total General Aggregate Limit stated in the Schedule above and the applicable Desig nated Project General Aggregate L imit. C. For all sums which the insured becomes legally obligated to pay as damages caused by occur rences under COVERAGE A SECTION 1 and for all medical expenses caused by accidents un der COVERAGE C SECTION 1 which can not be attributed only to operations at a single desig nated project shown in the Schedule abo ve 1. 2. Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the amount available under the Total General Aggregate Limit stated in the Schedule above and the General Aggregate Limit or the Products Completed Operations Aggregate Limit whichever is ap plicable and Such payments shall not reduce any Desig nated Project General Aggregate L imit. As respects this Provision C. the limits shown in the Declarations for Each Occurrence Damage To Premises Rented To You and Medical Ex pense continue to apply. Part 2. of SECTION Il LIMITS OF INSURANCE is deleted and replaced by the following 2. The General Aggregate Limit is the most we will pay for the sum of a. Damages under Coverage B and b. Damages from occurrences under COVERAGE A SECTION 1 and for all medical expenses caused by accidents under COVERAGE C SECTION 1 which can not be attributed only to operations at a single designated project shown in the SCHEDULE above. When coverage for liability arising out of the products completed operations hazard is pro vided any payments for damages because of bodily injury or property damage included in the products completed operations hazard will reduce the Products Completed Operations Ag gregate Limit and not reduce the Total General Aggregate Limit stated in the Schedule abo ve the General Aggregate Limit or the Designated Pro ject General Aggregate Limit. For the purposes of this endorsement the Defini tions Section is amended by the addition of the following definition Project means an area away from premises owned by or rented to you at which you are per forming operations pursuant to a contract or agreement. For the purposes of determining the applicable aggregate limit of insurance each project that includes premises involving the same or connecting lots or premises whose con nection is interrupted only by a street roadway waterway or right of way of a railroad shall be considered a single project. The provisions of LIMITS OF INSURANCE SECTION 1ll not otherwise modified by this en dorsement shall continue to apply as stipulated. Page 2 of 2 Copyright The Travelers Indemnity Company 2004 CG D3 210104
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Names of Additional Insured Persons or Organizations BROOKFIELD DTLA HOLDINGS LLC CONTINUED ON CG T8 01 Location of Covered Operations Information required to complete this Schedule if not shown above will be shown in the Dec larations. A. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage personal injury or advertising injury caused in whole or in par t by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds at the locations desig nated above. B. With respect to the insurance afforded to these additional insureds the following additional exclu sions apply This insurance does not apply to bodily injury or property damage occurring or personal injury or advertising injury arising out of an offense committed after 1. All work including materials parts or equip ment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional insureds at the loca tion of the covered operations has been com pleted or 2. That portion of your work out of which the injury or damage arises has been puttoits in tended use by any person or organization other than another contractor or subcontrac tor engaged in performing operations for a principal as a part of the same project. CG D3 6103 05 Copyright 2005 The St. Paul Travelers Companies Inc. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Names of Additional Insured Persons or Organizations PREMIER DESIGN BUILD GROUP CONTINUED ON CG T8 01 Location of Covered Operations SEE ON CG T8 01 cA Information required to complete this Schedule if not shown above will be shown in the Dec larations. A. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage personal injury or advertising injury caused in whole or in par t by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds at the locations desig nated above. B. With respect to the insurance afforded to these additional insureds the following additional exclu sions apply This insurance does not apply to bodily injury or property damage occurring or personal injury or advertising injury arising out of an offense committed after 1. All work including materials parts or equip ment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional insureds at the loca tion of the covered operations has been com pleted or 2. That portion of your work out of which the injury or damage arises has been puttoits in tended use by any person or organization other than another contractor or subcontrac tor engaged in performing operations for a principal as a part of the same project. CG D3 6103 05 Copyright 2005 The St. Paul Travelers Companies Inc. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Names of Additional Insured Persons or Organizations PACIFIC NATIONAL GROUP CONTINUED ON CG T8 03 Location of Covered Operations SEE CG T8 03 cA Information required to complete this Schedule if not shown above will be shown in the Dec larations. A. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage personal injury or advertising injury caused in whole or in par t by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds at the locations desig nated above. B. With respect to the insurance afforded to these additional insureds the following additional exclu sions apply This insurance does not apply to bodily injury or property damage occurring or personal injury or advertising injury arising out of an offense committed after 1. All work including materials parts or equip ment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional insureds at the loca tion of the covered operations has been com pleted or 2. That portion of your work out of which the injury or damage arises has been puttoits in tended use by any person or organization other than another contractor or subcontrac tor engaged in performing operations for a principal as a part of the same project. CG D3 6103 05 Copyright 2005 The St. Paul Travelers Companies Inc. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Names of Additional Insured Persons or Organizations PACIFIC NATIONAL GROUP CONTINUED ON CG T8 03 Location of Covered Operations SEE CG T8 03 cA Information required to complete this Schedule if not shown above will be shown in the Dec larations. A. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage personal injury or advertising injury caused in whole or in par t by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds at the locations desig nated above. B. With respect to the insurance afforded to these additional insureds the following additional exclu sions apply This insurance does not apply to bodily injury or property damage occurring or personal injury or advertising injury arising out of an offense committed after 1. All work including materials parts or equip ment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional insureds at the loca tion of the covered operations has been com pleted or 2. That portion of your work out of which the injury or damage arises has been puttoits in tended use by any person or organization other than another contractor or subcontrac tor engaged in performing operations for a principal as a part of the same project. CG D3 6103 05 Copyright 2005 The St. Paul Travelers Companies Inc. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Names of Additional Insured Persons or Organizations OWNER SKANSKA USA BUILDING INC. CONTINUED ON CG T8 04 Location of Covered Operations SEE CG T8 04 cA Information required to complete this Schedule if not shown above will be shown in the Dec larations. A. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage personal injury or advertising injury caused in whole or in par t by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds at the locations desig nated above. B. With respect to the insurance afforded to these additional insureds the following additional exclu sions apply This insurance does not apply to bodily injury or property damage occurring or personal injury or advertising injury arising out of an offense committed after 1. All work including materials parts or equip ment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional insureds at the loca tion of the covered operations has been com pleted or 2. That portion of your work out of which the injury or damage arises has been puttoits in tended use by any person or organization other than another contractor or subcontrac tor engaged in performing operations for a principal as a part of the same project. CG D3 6103 05 Copyright 2005 The St. Paul Travelers Companies Inc. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Names of Additional Insured Persons or Organizations DPR CONSTRUCTION THE GENERAL CONTINUED ON CG T8 04 Location of Covered Operations SEE CG T8 04 cA Information required to complete this Schedule if not shown above will be shown in the Dec larations. A. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage personal injury or advertising injury caused in whole or in par t by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds at the locations desig nated above. B. With respect to the insurance afforded to these additional insureds the following additional exclu sions apply This insurance does not apply to bodily injury or property damage occurring or personal injury or advertising injury arising out of an offense committed after 1. All work including materials parts or equip ment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional insureds at the loca tion of the covered operations has been com pleted or 2. That portion of your work out of which the injury or damage arises has been puttoits in tended use by any person or organization other than another contractor or subcontrac tor engaged in performing operations for a principal as a part of the same project. CG D3 6103 05 Copyright 2005 The St. Paul Travelers Companies Inc. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Names of Additional Insured Persons or Organizations DPR CONSTRUCTION THE GENERAL CONTINUED ON CG T8 04 Location of Covered Operations SEE CG T8 04 cA Information required to complete this Schedule if not shown above will be shown in the Dec larations. A. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage personal injury or advertising injury caused in whole or in par t by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds at the locations desig nated above. B. With respect to the insurance afforded to these additional insureds the following additional exclu sions apply This insurance does not apply to bodily injury or property damage occurring or personal injury or advertising injury arising out of an offense committed after 1. All work including materials parts or equip ment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional insureds at the loca tion of the covered operations has been com pleted or 2. That portion of your work out of which the injury or damage arises has been puttoits in tended use by any person or organization other than another contractor or subcontrac tor engaged in performing operations for a principal as a part of the same project. CG D3 6103 05 Copyright 2005 The St. Paul Travelers Companies Inc. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Names of Additional Insured Persons or Organizations DPR CONSTRUCTION CONTINUED ON CG T8 07 Location of Covered Operations SEE CG T80 7 cA Information required to complete this Schedule if not shown above will be shown in the Dec larations. A. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage personal injury or advertising injury caused in whole or in par t by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds at the locations desig nated above. B. With respect to the insurance afforded to these additional insureds the following additional exclu sions apply This insurance does not apply to bodily injury or property damage occurring or personal injury or advertising injury arising out of an offense committed after 1. All work including materials parts or equip ment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional insureds at the loca tion of the covered operations has been com pleted or 2. That portion of your work out of which the injury or damage arises has been puttoits in tended use by any person or organization other than another contractor or subcontrac tor engaged in performing operations for a principal as a part of the same project. CG D3 6103 05 Copyright 2005 The St. Paul Travelers Companies Inc. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Names of Additional Insured Persons or Organizations PREMIER DESIGN BUILD GROUP LLC CONTINUED ON CG T8 10 Location of Covered Operations PROJECT 1877 FIRST PERRY LOGISTICS PERRIS CA 92571 Information required to complete this Schedule if not shown above will be shown in the Dec larations. A. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage personal injury or advertising injury caused in whole or in par t by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds at the locations desig nated above. B. With respect to the insurance afforded to these additional insureds the following additional exclu sions apply This insurance does not apply to bodily injury or property damage occurring or personal injury or advertising injury arising out of an offense committed after 1. All work including materials parts or equip ment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional insureds at the loca tion of the covered operations has been com pleted or 2. That portion of your work out of which the injury or damage arises has been puttoits in tended use by any person or organization other than another contractor or subcontrac tor engaged in performing operations for a principal as a part of the same project. CG D3 6103 05 Copyright 2005 The St. Paul Travelers Companies Inc. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Names of Additional Insured Persons or Organizations DPR CONSTRUCTION CONTINUIED ON CG T8 08 Location of Covered Operations SEE CG T8 08 cA Information required to complete this Schedule if not shown above will be shown in the Dec larations. A. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage personal injury or advertising injury caused in whole or in par t by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds at the locations desig nated above. B. With respect to the insurance afforded to these additional insureds the following additional exclu sions apply This insurance does not apply to bodily injury or property damage occurring or personal injury or advertising injury arising out of an offense committed after 1. All work including materials parts or equip ment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional insureds at the loca tion of the covered operations has been com pleted or 2. That portion of your work out of which the injury or damage arises has been puttoits in tended use by any person or organization other than another contractor or subcontrac tor engaged in performing operations for a principal as a part of the same project. CG D3 6103 05 Copyright 2005 The St. Paul Travelers Companies Inc. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Names of Additional Insured Persons or Organizations 8740 LA TIJERA BLVD. LA OWNER LLC CONTINUED ON CG T8 16 Location of Covered Operations 8820 SEPULVEDA EASTWAY LOS ANGELES CA 9004 CA 90045 Information required to complete this Schedule if not shown above will be shown in the Dec larations. A. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage personal injury or advertising injury caused in whole or in par t by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds at the locations desig nated above. B. With respect to the insurance afforded to these additional insureds the following additional exclu sions apply This insurance does not apply to bodily injury or property damage occurring or personal injury or advertising injury arising out of an offense committed after 1. All work including materials parts or equip ment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional insureds at the loca tion of the covered operations has been com pleted or 2. That portion of your work out of which the injury or damage arises has been puttoits in tended use by any person or organization other than another contractor or subcontrac tor engaged in performing operations for a principal as a part of the same project. CG D3 6103 05 Copyright 2005 The St. Paul Travelers Companies Inc. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Names of Additional Insured Persons or Organizations DRIVER SPG LLC Location of Covered Operations WINDWARD SCHOOL SP1905 cA Information required to complete this Schedule if not shown above will be shown in the Dec larations. A. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage personal injury or advertising injury caused in whole or in par t by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds at the locations desig nated above. B. With respect to the insurance afforded to these additional insureds the following additional exclu sions apply This insurance does not apply to bodily injury or property damage occurring or personal injury or advertising injury arising out of an offense committed after 1. All work including materials parts or equip ment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional insureds at the loca tion of the covered operations has been com pleted or 2. That portion of your work out of which the injury or damage arises has been puttoits in tended use by any person or organization other than another contractor or subcontrac tor engaged in performing operations for a principal as a part of the same project. CG D3 6103 05 Copyright 2005 The St. Paul Travelers Companies Inc. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Names of Additional Insured Persons or Organizations C.W. DRIVER LLC CONTINUED ON CG T8 04 Location of Covered Operations CONTINUED ON CG T8 04 cA Information required to complete this Schedule if not shown above will be shown in the Dec larations. A. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage personal injury or advertising injury caused in whole or in par t by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds at the locations desig nated above. B. With respect to the insurance afforded to these additional insureds the following additional exclu sions apply This insurance does not apply to bodily injury or property damage occurring or personal injury or advertising injury arising out of an offense committed after 1. All work including materials parts or equip ment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional insureds at the loca tion of the covered operations has been com pleted or 2. That portion of your work out of which the injury or damage arises has been puttoits in tended use by any person or organization other than another contractor or subcontrac tor engaged in performing operations for a principal as a part of the same project. CG D3 6103 05 Copyright 2005 The St. Paul Travelers Companies Inc. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Names of Additional Insured Persons or Organizations C.W. DRIVER LLC CONTINUED ON CG T8 10 Location of Covered Operations CONTINUED ON CG T8 10 cA Information required to complete this Schedule if not shown above will be shown in the Dec larations. A. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage personal injury or advertising injury caused in whole or in par t by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds at the locations desig nated above. B. With respect to the insurance afforded to these additional insureds the following additional exclu sions apply This insurance does not apply to bodily injury or property damage occurring or personal injury or advertising injury arising out of an offense committed after 1. All work including materials parts or equip ment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional insureds at the loca tion of the covered operations has been com pleted or 2. That portion of your work out of which the injury or damage arises has been puttoits in tended use by any person or organization other than another contractor or subcontrac tor engaged in performing operations for a principal as a part of the same project. CG D3 6103 05 Copyright 2005 The St. Paul Travelers Companies Inc. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER 630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE T Name of Person or Organization DPR CONSTRUCTION THE GENERAL CONTINUED ON CG T8 05 Location And Description of Completed Operations SEE CG T8 05 ca Section Il Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of your work at the location designated and described in the schedule of this endorsement performed for that insured and included in the products completed operations hazard. Page 1of 1 CGD3731105 Includes the copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER 630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE T Name of Person or Organization DPR CONSTRUCTION THE GENERAL CONTINUED ON CG T8 05 Location And Description of Completed Operations SEE CG T8 05 ca Section Il Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of your work at the location designated and described in the schedule of this endorsement performed for that insured and included in the products completed operations hazard. Page 1of 1 CGD3731105 Includes the copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER 630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE T Name of Person or Organization OWNER SKANSKA USA BUILDING INC. CONTINUED ON CG T8 05 Location And Description of Completed Operations SEE CG T8 05 ca Section Il Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of your work at the location designated and described in the schedule of this endorsement performed for that insured and included in the products completed operations hazard. Page 1of 1 CGD3731105 Includes the copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER 630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE T Name of Person or Organi DPR CONSTRUCTION CONTINUED ON CG T8 09 Location And Description of Completed Operations SEE CG T8 09 ca Section Il Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of your work at the location designated and described in the schedule of this endorsement performed for that insured and included in the products completed operations hazard. Page 1of 1 CGD3731105 Includes the copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER 630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE T Name of Person or Organi BNBUILDERS INC. CONTINUED ON CG T8 09 Location And Description of Completed Operations 12105 WATERFRONT DRIVE CA 90094 LOS ANGELES Section Il Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of your work at the location designated and described in the schedule of this endorsement performed for that insured and included in the products completed operations hazard. Page 1of 1 CGD3731105 Includes the copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE DESIGNATED ADDITIONAL INSUREDS PRIMARY WITH RESPECT TO CERTAIN OTHER INSURANCE This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE OF DESIGNATED ADDITIONAL INSUREDS C.W. DRIVER LLC THE STATE OF CALIFORNIA THE TRUSTEES OF THE CALIFORNIA STATE UNIVERSITY THE UNIVERSITY CALIFORNIA STATE UNIVERSITY DOMINGUEZ HILLS THEIR OFFICERS EMPLOYEES REPRESENTATIVES VOLUNTEERS AGENTS ALIANT INSURANCE SERVICES AND ANY OTHER PARTIES REQUIRED BY CONTRACT. ATTN CHRISTINA COCHRAN 11879 SEBASTIAN WAY SUITE 101 RANCHO CUCAMONGA CA 91730 PROJECT 190009 CSUDH INNOVATION AND INSTRUCTION BUILDING PHASE III CONSTRUCTION Designated Additional Insureds is primary to any of the other insurance whether primary excess contingent or on any other basis that is available to such additional insured which covers such additional insured as a named insured and we will not share with that other insurance. PROVISIONS The following is added to Paragraph 4.a. Primary Insurance of SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS The insurance afforded under this Coverage Part to any additional insured shown in the Schedule Of Page 1 of 1 CGD4260219 2017 The Travelers Indemnity Company. All rights reserved Includes copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED AUTOMATIC STATUS IF REQUIRED BY WRITTEN CONTRACT CONTRACTORS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to SECTION Il WHO IS AN INSURED Any person or organization that a. You agree in a written contract or agreement to include as an additional insured on this Coverage Part and b. Has not been added as an additional insured for the same project by attachment of an endorse ment under this Coverage Part which includes such person or organization in the endorsement s schedule is an insured but a. Only with respect to liability for bodily injury or property damage that occurs or for personal injury caused by an offense that is committed subsequent to the signing of that contract or agreement and while that part of the contract or agreement is in effect and b. Only as described in Paragraph 1 2 or 3 be low whichever applies 1 If the written contract or agreement specifical ly requires you to provide additional insured coverage to that person or organization by the use of a The Additional Insured Owners Les sees or Contractors Form B endorse ment CG 20 10 11 85 or b Either or both of the following the Addi tional Insured Owners Lessees or Con tractors Scheduled Person Or Organi zation endorsement CG 20 10 10 01 or the Additional Insured Owners Lessees or Contractors Completed Operations endorsement CG 20 37 10 01 the person or organization is an additional in sured only if the injury or damage arises out of your work to which the written contract or agreement applies If the written contract or agreement specifical ly requires you to provide additional insured coverage to that person or organization by the use of 2 a The Additional Insured Owners Les sees or Contractors Scheduled Person or Organization endorsement CG 20 10 07 04 or CG 20 10 04 13 the Additional Insured Owners Lessees or Contrac tors Completed Operations endorse ment CG 20 37 07 04 or CG 2037 04 13 or both of such endorsements with either of those edition dates or b Either or both of the following the Addi tional Insured Owners Lessees or Con tractors Scheduled Person Or Organi zation endorsement CG 20 10 or the Ad ditional Insured Owners Lessees or Contractors Completed Operations en dorsement CG 20 37 without an edition date of such endorsement specified the person or organization is an additional in sured only if the injury or damage is caused in whole or in part by acts or omissions of you or your subcontractor in the performance of your work to which the written contract or agreement applies or If neither Paragraph 1 nor 2 above applies a The person or organization is an addi tional insured only if and to the extent that the injury or damage is caused by acts or omissions of you or your subcon tractor in the performance of your work to which the written contract or agree ment applies and b Such person or organization does not qualify as an additional insured with re spect to the independent acts or omis sions of such person or organization. 3 The insurance provided to such additional insured is subject to the following provisions If the Limits of Insurance of this Coverage Part shown in the Declarations exceed the minimum limits required by the written contract or agree ment the insurance provided to the additional in sured will be limited to such minimum required limits. For the purposes of determining whether led to SECTION Il WHO IS AN ization that written contract or agreement to iditional insured on this Coverage dded as an additional insured for ct by attachment of an endorse s Coverage Part which includes organization in the endorsement s ct to liability for bodily injury or ge that occurs or for personal by an offense that is committed the signing of that contract or while that part of the contract or effect and ed in Paragraph 1 2 or 3 be pplies contract or agreement specifical you to provide additional insured that person or organization by ditional Insured Owners Les Contractors Form B endorse 5201011 85 or r both of the following the Addi sured Owners Lessees or Con Scheduled Person Or Organi ndorsement CG 20 10 10 01 or tional Insured Owners Lessees ractors Completed Operations L Fep Ay w4 1Y e 3 Page 1 of 2 CG D6 0402 19 2017 The Travelers Indemnity Company. Al rights reserved.
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COMMERCIAL GENERAL LIABILITY this limitation applies the minimum limits required by the written contract or agreement will be con sidered to include the minimum limits of any Um brella or Excess liability coverage required for the additional insured by that written contract or agreement. This provision will not increase the limits of insurance described in Section Il Limits Of Insurance. The insurance provided to such additional insured does not apply to 1 Any bodily injury property damage or personal injury arising out of the providing or failure to provide any professional archi tectural engineering or surveying services including a The preparing approving or failing to prepare or approve maps shop draw ings opinions reports surveys field or ders or change orders or the preparing approving or failing to prepare or ap prove drawings and specifications and Supervisory inspection architectural or engineering activities. Any bodily injury or property damage caused by your work and included in the products completed operations hazard un less the written contract or agreement specifi cally requires you to provide such coverage for that additional insured during the policy period. The additional insured must comply with the fol lowing duties 1 Give us written notice as soon as practicable of an occurrence or an offense which may b 2 2 3 C result in a claim. To the extent possible such notice should include a How when and where the occurrence or offense took place b The names and addresses of any injured persons and witnesses and c The nature and location of any injury or damage arising out of the occurrence or offense. If a claim is made or suit is brought against the additional insured a Immediately record the specifics of the claim or suit and the date received and b Notify us as soon as practicable and see to it that we receive written notice of the claim or suit as soon as practicable. Immediately send us copies of all legal pa pers received in connection with the claim or suit cooperate with us in the investigation or settlement of the claim or defense against the suit and othe rwise comply with all policy conditions. Tender the defense and indemnity of any claim or suit to any provider of other insur ance which would cover such additional in sured for a loss we cover. However this con dition does not affect whether the insurance provided to such additional insured is primary to other insurance available to such additional insured which covers that person or organiza tion as a named insured as described in Par agraph 4. Other Insurance of Section IV Commercial General Liability Conditions. Page 2 of 2 CG D6 0402 19 2017 The Travelers Indemnity Company. Al rights reserved.
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization DPR CONSTRUCTION CONTINUED ON CG T8 14 ATTN DPR CCIP ADMINISTRATION 4665 MACARTHUR COURT SUITE 100 NEWPORT BEACH CA 92660 If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. A. Section Il Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of your ongoing operations per formed for that insured. B. With respect to the insurance afforded to these additional insureds the following exclusion is added 2. Exclusions This insurance does not apply to bodily in jury or property damage occurring after 1 All work including materials parts or equipment furnished in connection with such work on the project other than ser vice maintenance or repairs to be per formed by or on behalf of the additional insureds at the site of the covered op erations has been completed or That portion of your work out of which the injury or damage arises has been put to its intended use by any person or or ganization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. Page 10of 1 CG 20101001 ISO Properties Inc. 2000
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations BROOKFIELD DTLA HOLDINGS LLC CONTINUED ON CG T8 00 Location And Description Of Completed Operations Information required to complete this Schedule if not shown above will be shown in the Dec larations. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or or ganizations shown in the Schedule but only with respect to liability for bodily injury or property dam age caused in whole or in part by your work at the location designated and described in the schedule of this endorsement performed for that additional in sured and included in the products completed opera tions hazard. Page 10of 1 CG 20 37 07 04 ISO Properties Inc. 2004
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations PREMIER DESIGN BUILD GROUP CONTINUED ON CG T8 00 Location And Description Of Completed Operations SEE ON CG T8 00 Information required to complete this Schedule if not shown above will be shown in the Dec larations. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or or ganizations shown in the Schedule but only with respect to liability for bodily injury or property dam age caused in whole or in part by your work at the location designated and described in the schedule of this endorsement performed for that additional in sured and included in the products completed opera tions hazard. Page 10of 1 CG 20 37 07 04 ISO Properties Inc. 2004
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations PACIFIC NATIONAL GROUP CONTINUED ON CG T8 02 Location And Description Of Completed Operations SEE CG T8 02 Information required to complete this Schedule if not shown above will be shown in the Dec larations. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or or ganizations shown in the Schedule but only with respect to liability for bodily injury or property dam age caused in whole or in part by your work at the location designated and described in the schedule of this endorsement performed for that additional in sured and included in the products completed opera tions hazard. Page 10of 1 CG 20 37 07 04 ISO Properties Inc. 2004
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations PACIFIC NATIONAL GROUP CONTINUED ON CG T8 02 Location And Description Of Completed Operations SEE CG T8 02 Information required to complete this Schedule if not shown above will be shown in the Dec larations. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or or ganizations shown in the Schedule but only with respect to liability for bodily injury or property dam age caused in whole or in part by your work at the location designated and described in the schedule of this endorsement performed for that additional in sured and included in the products completed opera tions hazard. Page 10of 1 CG 20 37 07 04 ISO Properties Inc. 2004
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations DPR CONSTRUCTION CONTINUED ON CG T8 06 Location And Description Of Completed Operations SEE CG T8 06 Information required to complete this Schedule if not shown above will be shown in the Dec larations. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or or ganizations shown in the Schedule but only with respect to liability for bodily injury or property dam age caused in whole or in part by your work at the location designated and described in the schedule of this endorsement performed for that additional in sured and included in the products completed opera tions hazard. Page 10of 1 CG 20 37 07 04 ISO Properties Inc. 2004
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations PREMIER DESIGN BUILD GROUP LLC CONTINUED ON CG T8 10 Location And Description Of Completed Operations Information required to complete this Schedule if not shown above will be shown in the Dec larations. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or or ganizations shown in the Schedule but only with respect to liability for bodily injury or property dam age caused in whole or in part by your work at the location designated and described in the schedule of this endorsement performed for that additional in sured and included in the products completed opera tions hazard. Page 10of 1 CG 20 37 07 04 ISO Properties Inc. 2004
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations WEWORK COMPANIES INC. CONTINUED ON CG T8 14 Location And Description Of Completed Operations INSTALLING WINDOW COVERINGS cA Information required to complete this Schedule if not shown above will be shown in the Dec larations. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or or ganizations shown in the Schedule but only with respect to liability for bodily injury or property dam age caused in whole or in part by your work at the location designated and described in the schedule of this endorsement performed for that additional in sured and included in the products completed opera tions hazard. Page 10of 1 CG 20 37 07 04 ISO Properties Inc. 2004
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations PREMIER DESIGN BUILD GROUP LLC CONTINUED ON CG T8 12 Location And Description Of Completed Operations PROJECT 1877 FIRST PERRY LOGISTICS cA Information required to complete this Schedule if not shown above will be shown in the Dec larations. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or or ganizations shown in the Schedule but only with respect to liability for bodily injury or property dam age caused in whole or in part by your work at the location designated and described in the schedule of this endorsement performed for that additional in sured and included in the products completed opera tions hazard. Page 10of 1 CG 20 37 07 04 ISO Properties Inc. 2004
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations 8740 LA TIJERA BLVD. LA OWNER LLC CONTINUED ON CG T8 15 Location And Description Of Completed Operations 8820 SEPULVEDA EASTWAY LOS ANGELES CA 90045 Information required to complete this Schedule if not shown above will be shown in the Dec larations. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or or ganizations shown in the Schedule but only with respect to liability for bodily injury or property dam age caused in whole or in part by your work at the location designated and described in the schedule of this endorsement performed for that additional in sured and included in the products completed opera tions hazard. Page 10of 1 CG 20 37 07 04 ISO Properties Inc. 2004
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations DRIVER SPG LLC Location And Description Of Completed Operations WINDWARD SCHOOL SP1905 cA Information required to complete this Schedule if not shown above will be shown in the Dec larations. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or or ganizations shown in the Schedule but only with respect to liability for bodily injury or property dam age caused in whole or in part by your work at the location designated and described in the schedule of this endorsement performed for that additional in sured and included in the products completed opera tions hazard. Page 10of 1 CG 20 37 07 04 ISO Properties Inc. 2004
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations DPR CONSTRUCTION CONTINUED ON CG T8 15 Location And Description Of Completed Operations SEE CG T8 15 Information required to complete this Schedule if not shown above will be shown in the Dec larations. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or or ganizations shown in the Schedule but only with respect to liability for bodily injury or property dam age caused in whole or in part by your work at the location designated and described in the schedule of this endorsement performed for that additional in sured and included in the products completed opera tions hazard. Page 10of 1 CG 20 37 07 04 ISO Properties Inc. 2004
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations DPR CONSTRUCTION CONTINUED ON CG T8 15 Location And Description Of Completed Operations SEE CG T8 15 Information required to complete this Schedule if not shown above will be shown in the Dec larations. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or or ganizations shown in the Schedule but only with respect to liability for bodily injury or property dam age caused in whole or in part by your work at the location designated and described in the schedule of this endorsement performed for that additional in sured and included in the products completed opera tions hazard. Page 10of 1 CG 20 37 07 04 ISO Properties Inc. 2004
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COMMERCIAL GENERAL LIABILITY POLICY NUMBER Y630 8L314749 TIL20 ISSUE DATE 11 02 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations DPR CONSTRUCTION CONTINUED ON CG T8 16 Location And Description Of Completed Operations SEE CG T8 16 Information required to complete this Schedule if not shown above will be shown in the Dec larations. Section Il Who Is An Insured is amended to in clude as an additional insured the persons or or ganizations shown in the Schedule but only with respect to liability for bodily injury or property dam age caused in whole or in part by your work at the location designated and described in the schedule of this endorsement performed for that additional in sured and included in the products completed opera tions hazard. Page 10of 1 CG 20 37 07 04 ISO Properties Inc. 2004
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