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<br />7/23/2009 4:29:00 PM <br /> <br />Faxserver <br /> <br />FaxServer003 <br /> <br />Page 5 <br /> <br />AUACHED TO AND <br />FORMING A PART <br />OF <br /> <br /> <br />ENDORSEMENT NO.. <br />INSURED ! <br /> <br />AGENCY ANDi <br />CODE <br /> <br />I 01LX0032347282 <br /> <br />YMCA Orange County <br /> <br />The Redwoods <br />Group <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />DESIGNATED ORGANIZATION ADDITIONAL INSURED ENDORSEMENT <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE <br /> <br />SCHEDULE: city of Sant. An. <br /> <br />A. SECTION II . WHO IS AN INSURED Is atn.nded to include as an insured 8flY person or o'ian1zaUon desrgnated in the <br />schedule whom you are required to add as an additional insured to this policy'under a written contract, agreement or permit <br />1. Currently in effect or which wlll become effective during the term of the policy; alld <br />2. Executed pdor'to the ~occurrence" which results In -bodIly inj\.lry' or 'propilrty d-amage' under Coverage- A, or the <br />offtmse which results in'personat add advertising injury' undeor Coverage S. <br />B. The insurance provided to this additional Insured E's limited IS follows: <br />1. That person or organization is an additional insL8'ed only with respect to liability arlsl"g out of: a. <br />Premises you own, rent, tease or occupy; or <br />b_ Your ongoing operations performed for that additional insured as specified In the written contract, agreement or <br />p.nnre. <br />This insurance does not apply to 'bodily injury' or 'property damage- arising out of 'your work' Included In the ~product:s <br />completed operations hazard unress.you are required fa provide such coverage by written contract, agreemetlt or permit <br />and then only tor the period oftims required by the contract and In no event beyond t~e expiration dat. of the policy. <br />2, The limits of insurance appllcable to the .addltionaf Insured are those specified in the contract, agreement, permit or In <br />the Declarations oftl1ls pOlicy, which.var are 16u. These limits 01 insuranc. art inclusill' of Ind not in addi1ion to <br />the Limits of Insurance shown in the Declarations, <br />3. The Insurance pro\lided to th& additionat Ineurad does not Ippry fa -bOdily injury\ 'property darTYtge', or <br />'personal and advertising injury" arising out of the sole negligence aftl1& addltionllllnsurecl. <br />4. The, insurance provided to the additional insured does not apply to nbodlly injury', 'property damage", or <br />"personal and adwrfisln9 rnjury- arIsing out of an architec:f's, engineer's or surveyor's rendering orfailure to <br />render any professiClnal services ineluding: <br />a. The prepiildng, approving or failing to prepare or .approve, maps, shop drawings, opinions, reports, surveys, field <br />orders, change orders or drawings and speo cations; and <br />b. Supervisory, inspection, architectural or engineering actiVities. <br />C. Coverage provided by this endorstment will apply on a primary and non.contributory basis. if a written contract, agreement' <br />or permit specifically requires that this insurance be primary and noncontributory. <br />Otherwise, coverage provided by t~is endor.ement will be excel8 over any other valid and conectibl. insurance <br />avahble fo the addltlonallnsured whel~er primary, exc"" contingent or Dn any other basis. <br />Wh.n Ihis insuranc. Is oxcess w. will have no duly under COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE <br />LIABILITY or COV.RAGE B. PERSONAL AND ADVERTISING INJURY UABllITY to d.fend the addlJion.i Insured .gainsl .ny <br />'suit'- if any other insurer has a duty to defend the addltlonallnsured against that "suit,- if no other Insurer defends, we may <br />undertake to do so, but we will be enHled fo the additional Insured's daft against all thos. other insurers. <br /> <br />ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED <br /> <br />AUTHORIZED REPRESENTATIVE <br /> <br />DATE <br /> <br />