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COMMERCIAL GENERAL LIABILITY <br />POLICY NUMBER:Y-S30-6770PZ93-TIL-12 ISSUE DATE: 03-21-12 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED <br />(CONTRACTORS) <br />This endorsement modifies Insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />NAME OF PERSON(S) OR <br />ORGANIZATION(S): <br />CITY OS SANTA ANA, ITS OFFSCER9, <br />AQENTS, BMPLOXSSS AND VOLUNTEERS <br />20 CIVSC CNTSRPLAZA <br />BANTA ANA, CA 92701 <br />SCHEDULE <br />PROJECT/LOCATION OF COVERED OPERATIONS: <br />COI•IIdON AREA KNOWN AS 3PUROSON <br />STRSST PR024ENADS - <br />BBTWEBN 3RD 6TR8ET AND 4T1.-[ STRBET <br />SANTA ANA, CA 92701 <br />2. rvisory, inspection, architectural or <br />tion- <br />1. WHO IS AN INSURED - (Section 11) Is amended b) The insurance provided to the additional <br />to include the person or organization shown in the sured does not apply to "bodily injury", "prop- <br />Schedule above, but: erty damage" or "personal injury" arising out <br />a) Only with respect to liability for "bodily injury", of the rendering of, or failure to render, any <br />"property damage" or "personas injury"; and professional architectural, engineering or sor- <br /> veying services, including: <br />b) if, and only to the extant that, the Injury or <br />damage is caused by acts or omissions of 1. The preparing, approving, or failing to <br />you or your subcontractor in the pertormance prepare or approve, maps, shop draw- <br />of "your work" on or for the project, or at the ings, opinions, reports, surveys, field or- <br />locatlon, shown in the Schedule. The person ders or change orders, or the preparing, <br />or organization does not qualify as an atldl- approving, or failing to prepare or op- <br />tional Insured with respect to the independent prove, drawings and specifications; and <br />acts or omissions of such person or organiza- <br /> engineering activities. <br />The insurance provided to the additional insured c) The insurance provided to the additional in- <br />bythis endorsement is limited as follows: sured does not apply to "bodily injury" or <br />a) In the event that the Limits of Insurance of "property damage" caused by "your work" <br />this Coverage Pert shown in the Declarations and Included in the "products-completed op- <br />exceed the Ilmitaa of Iiabilily required by a erations hazard" unless a "written contract <br />"written contract requiring Insurance" for that requiring Insurance" specifically requires you <br />additional insured, the Insurance provided to to provide such coverage for that additional <br />the additional insured shall be limited to the Insured, and then the insurance provided to <br />limits of fiabilily required by that "written con- the additional insured applies only to such <br />" <br />" <br />" <br />tract requiring Insurance". This endorsement bodily injury <br />or <br />property damage" that oc- <br />shals not increase the limits of insurance de- curs before the end of the period of time for <br />scribed In Section 111 - Limits Of insurance. which the "written contract requiring insur- <br /> ance" requires you to provide such coverage <br /> <br />CG D2 47 08 05 ®2005 Th <br />St <br />P <br />l T so rc)TN. <br />l <br />C <br />i <br />i <br />f 2 <br />Q <br />. <br />e <br />au <br />ra ve <br />ers <br />ompan <br />es. <br />g o <br />nc. AFPRO?j <br /> •y?vorK <br />A E <br /> Attorney <br />istant City <br /> Ass