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Limited Amendment of Cancellation Provisions - Southern California Fleet Services Inc. - 2022-03-01Additional Insured Copy Federated Mutual Insurance Company RECEIVED THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFU i MAR p 7 2022 LIMITED AMENDMENT OF CANCELLATION PROVISIO S Costa Mesa Sanitary District All Coverage Parts included in this policy are subject to the following conditions: If we cancel this policy, we will mail advance notice to the person(s) or organization(s) as shown in the Schedule. SCHEDULE Name and Address of Person(s) Or Organization(s): Costa Mesa Sanitary District 290 Paularino Ave Costa Mesa, CA 92626-3314 Number of days advance notice for any reason other than non-payment of premium: 3 0 Number of days advanced notice for non-payment of premium: See Common Policy Conditions Insured: Southern California Fleet Services Inc 34211 Pacific Coast Hwy Unit 104 Dana Point, CA 92629-3859 Includes copyrighted material of Insurance Services Office, Inc., with its permission. IL -F-50 (04-13) Policy Number: 9823225 Transaction Effective Date: 03/01/2022 Additional Insured Copy POLICY NUMBER:9823225 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 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 Person(s) Or Organizations: Location(s) Of Covered Operations Costa Mesa Sanitary District Any coverage provided by this endorsement 290 Paularino Ave applies only with respect to named insured's Costa Mesa, CA 92626-3314 service and repair of certificate holder's vehicles. Additional Insureds also include: Costa Mesa Sanitary District, their elected and appointed officials, Agents, officers, volunteers and employees Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, 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 insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or 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 additional insured(s) at the location of the covered operations has been completed; or 2. 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 contractor or subcontractor engaged in performing operations for a principal as a part of the same project. © Insurance Services Office, Inc., 2012 Page 1 of 2 CG 20 10 04 13 Policy Number: 9823225 Transaction Effective Date: 03/01/2022 Additional Insured Copy C. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or Insured: Southern California Fleet Services Inc 34211 Pacific Coast Hwy Unit 104 Dana Point, CA 92629-3859 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13 Policy Number: 9823225 Transaction Effective Date: 03/01/2022