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COMMERCIAL GENERAL LIABILITY <br />POLICY NUMBER:Y-630-6770P193-TSL-12 ISSUE BATE:03-21-12 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSUF2ED <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 />THE CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />Schedule above, but: arty damage" or "personal injury" arising out <br />SCHEDULE <br />PROJECTlLOCATION OF COVERED OPERATIONS: <br />LOC 6/6y 201, 220 & 305 E POURTH ST <br />& 301-307 N SPUROSON ST <br />SANTA ANA, CA 93701 <br />LOC 7/7s 200-210 EAST 4TH STy <br />316-320 E 4TH ST <br />SANTA ANA, CA 92701 <br />9. WHO IS AN INSURED - (Section IE) Is amended - b) The insurance provided to the additional <br />to include the person or organization shown in the sured dons not apply to "bodily Injury", "prop- <br /> <br />a) Oniy with respect to liabiliiy for "bodily Injury", of the rendering of, or faliure to render, any <br />"property damage" or "personal injury"- and professional architectural, engineering or sur- <br />b) If, and only to the extent that, the Injury or veying services, Including: <br />damage is caused by acis or omissions of f. The preparing, approving, or failing to <br />you or your subcontractor in the performance 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 />location, shown In the Schedule. The person ders or change orders, or the preparing, <br />or organization does not qualify as an addl- approving, or failing to prepare or ap- <br />tfonal Insured with respect to the Independent prove, drawings and specifications; and <br />acts or omissions of such person or organiza- If. Supervisory, inspection, architectural or <br />Lion. engineering activities. <br />2. The Insurance provided to the additional Insured c) The Insurance provided to the additional in- <br />by this 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 Part shown in the Declarations and Included In the "products-completed op- <br />exceed the limits of liability 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 liability required by that "written con- the additional insured applies only to such <br />" <br />tract requiring insurance". This endorsement bodily injury" or "property damage" that oc- <br />shall not Increase the limits of insurance de- curs before the end of the period of time for _?A <br />scribed In Section III - Limits Of Insurance. which the "written contract requiring Insur-l0 <br /> once" requires you to provide such coyeyQe <br /> 9 p. <br /> ?V4 `e/° SCO?C' IC?e?I <br />O <br /> <br />CG D2 47 08 05 02>2005 The St. Paul Trav f <br />elers Companies, Inc. <br />` ?• 7• ?« <br /> ?