Laserfiche WebLink
<br />SANTAAl <br />POLICY NUMBER: <br />NAMED INSURED: <br /> <br />Advanced Automated Systems, Inc. <br />RPIOl7641 <br /> <br />COMMERCIAL GENERAL LIABILITY <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />CG 20 09 10 93 <br />ADDITIONAL INSURED - OWNERS, LESSEES or CONTRACTORS [Form A] <br /> <br />This endorsement modifies insurance provided under the following: <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br />SCHEDULE <br /> <br />Name of Person or Organization (Additional Insured): <br /> <br />The City of Santa Ana <br />Siemens Building Technologies, Inc. <br /> <br />Location of Covered Operations <br /> <br />City of Santa Ana HV AC Building service <br />agreement. <br /> <br />Premium Basis <br /> <br />Rates <br /> <br />Advance Premium <br /> <br />Bodily Injury and <br />Property Damage Liability <br /> <br />Cost <br /> <br />(Per $1,000 of Cost) <br /> <br />$ INCLUDED <br /> <br />Total Advance Premium <br /> <br />$ INCLUDED <br /> <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this <br />endorsement.) <br /> <br />1. WHO IS AN INSURED (Section II) is amended to <br />include as an insured the person or organization (called <br />"additional insured") shown in the Schedule, but only <br />with respect to liability arising out of: <br />A. Your ongoing operations performed for the <br />additional insured(s) at the location designated <br />above, or <br />B. Acts of omissions of the additional insured(s) in <br />connection with their general supervision <br />of such operations. <br />2. With respect to the insurance afforded these additional <br />insureds, the following additional provisions apply: <br />A. Exclusions b., c., g., h.(1), j., k., 1. and n. under <br />COVERAGE A - BODILY INJURY AND <br />PROPERTY DAMAGE LIABILITY (section I - <br />Coverages) do not apply. <br />B. Additional Exclusions. This insurance does not <br />apply to: <br />(1) "Bodily Injury" or "property damage" <br />for which the additional insured(s) are <br />obligated to pay damages by reason of <br />the assumption of liability in a contract or <br />agreement. This exclusion does not apply to <br />liability for damages that the additional <br />insured)s) would have in the absence of the <br />contract or agreement. <br />(2) "Bodily injury" or "property damage" occurring <br />after: <br />(a) All work, including materials, parts or <br /> <br />such work, on the project (other than <br />service, maintenance, or repairs) to be <br />performed by or on behalf of the additional <br />insured(s) at the site of the covered <br />operations has been completed; or <br />(b) That portion of "your work" out of which <br />injury or damage arises has been put to its <br />intended use by any person or organization <br />other than another contractor or <br />subcontractor engaged in performing <br />operations for a principal as a part of the <br />same project. <br />(3) "Bodily injury" or "property damage" arising <br />out of any act or omission of the additional <br />insured(s) or any of their employees other <br />than the general supervision by the additional <br />insureds(s) of your ongoing operations <br />performed for the additional insured(s). <br />(4) "Property damage" to: <br />(a) Property owned, used or occupied by or <br />rented to the additional insured(s); <br />(b) Property in the care, custody or control of <br />the additional insured(s) or over which the <br />additional insured(s) are for any purpose <br />exercising physical control; or <br />(c) Any work, including materials, parts or <br />equipment furnished in connection with <br />such work, which is performed for the <br />additional insured(s) by you. <br /> <br />CG 20 09 1093 <br /> <br />Copyright, Insurance Service Office, Inc., 1992 Page I of I <br />.V~~.--("'~ ~,.2 /7 <br /> <br />i~~' <br />