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CAM SB- - <br />(Ed.d. 06/106/11) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - <br />SCHEDULED PERSON OR ORGANIZATION -WITH PRODUCTS COMPLETED <br />OPERATIONS COVERAGE <br />This endorsement modifies insurance provided under the following: <br />BUSINESSOWNERS LIABILITY COVERAGE FORM <br />SCHEDULE* <br />Name Of Person Or Organization: <br />City of Santa Ana, , its officers, officials, employees, and volunteers <br />20 Civic Center Plaza (M-30) <br />P.O. Box 1988 <br />Santa Ana CA 92702-1988 <br />' Information required to complete this Schedule, if not shown on this endorsement, will be shown in the Declarations. <br />A. The following is added to Paragraph C. Who Is An <br />Insured: <br />4. Any person(s) or organization(s) shown in the <br />Schedule is also an additional insured, but only <br />with respect to liability for "bodily injury," "property <br />damage" or "personal and advertising injury," <br />caused, in whole or in part, by: <br />a. Your acts or omissions; or <br />b. The acts or omissions of those acting on your <br />behalf <br />in the performance of your ongoing operations for <br />the additional insured(s); at the location(s) <br />designated above; or <br />c. "Your work' that is included in the "products - <br />completed operations hazard" and performed <br />for the additional insured, but only if this <br />Policy provides such coverage, and only if the <br />written contract or written agreement requires <br />you to provide the additional insured such <br />coverage. <br />B. The insurance provided to the additional insured does <br />not apply to 'bodily injury," 'property damage," or <br />"personal and advertising injury" arising out of: <br />SB-300120-C <br />(Ed. 06/11) <br />1. The rendering of, or the failure to render any <br />professional architectural, engineering, or <br />surveying services, including: <br />(a) The preparing, approving, or failing to prepare <br />or approve maps, shop drawings, opinions, <br />reports, surveys, field orders, change orders <br />or drawings and specifications; and <br />(b) Supervisory, inspection, architectural or <br />engineering activities. <br />2. 'Bodily Injury," "property damage," or "personal <br />and advertising injury' arising out of any premises <br />or work for which the additional insured is <br />specifically listed as an additional insured on <br />another endorsement attached to this Policy. <br />C. The following is added to Paragraph H. of the <br />Businessowners Common Policy Conditions: <br />H. Other Insurance <br />This insurance is excess over any other insurance <br />naming the additional insured as an insured <br />whether primary, excess, contingent or on any <br />other basis unless a written contract or written <br />agreement specifically requires that this insurance <br />be either primary or primary and noncontributing. <br />WakManagementDivision <br />REVIEWED & APPRovso aY; <br />o fu"i ..Q P. V' <br />® Risk Management Analyst <br />