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COMMERCIAL GENERAL LIABILITY <br />POLICY NUMBER:Y-630-6770P193-TIL-12 ISSUE DATE: 03-23-12 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />(CONTRACTORS) <br />ADDITIONAL INSURED <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 />TH$ CITY OF SANTA ANA, 2TS OFFSCSRS, <br />AOSNTB, SMPLOYLES AND VOLUNTEERS <br />SCHEDULE <br />PROJECT/LOCATION OF COVERED OPERATIONS: <br />FSESTA t4ARKETPLACS 8HOPPINtl CENTER <br />201 E. 4TH STREET, 305 8. 4TH BTRSET <br />220 E. 4TH STREET, 301-307 SPUROEON, <br />2Q0-210 S. 4TH BTRSET <br />313, 316, 318 & 320 E. 4TH STREET <br />SANTA ANA, CA 92701 <br />1. WHO IS AN INSURED - (Section Il) 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 />Schedufe above, but: arty damage" or "personal Injury" arising out <br />a) Ortly with respect to 1lab11ity for "bodily Injury", of iha rande"ring of, or failure 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 acts or omissions of f. The preparing, approving, or failing to <br />you or your subcontractor in Ilia performance prepare ar 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 addi- approving, or falling to prepare or ap- <br />tional insured with respect to the independent prove, drawings and specifications; and <br />acts or omissions of such person or organiza- It. 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 />tract requiring Insurance". This endorsement "bodily injury" or "property damage" that or- <br />shall 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 />'?G ?®RNL <br />r <br /> ,,,. <br />ARpROV <br />D <br />CG D2 47 08 05 0 2005 The St. Paul Travelers Companies, Inc. <br />K <br /> t"ti A t city Attorney <br /> gsststan / _??