Laserfiche WebLink
Liability Insurance <br />Endorsement <br />Policy Period <br />Effective Date <br />Policy Number <br />Insured <br />Name of Company <br />Date Issued <br />This Endorsement applies to the following forms: <br />GENERAL LIABILITY <br />NOVEMBER 26, 2013 TO NOVEMBER 26, 2014 <br />NOVEMBER 26, 2013 <br />3589 -39 -74 WCF. <br />ICLEIUSA INC <br />FEDERAL INSURANCE COMPANY <br />SEPTEMBER 3, 2013 <br />Under Who Is An Insured, the following provision is added: <br />Who Is An Insured <br />Scheduled Person Or Subject to all of the terms and conditions of this insurance, any person or organization shown in the <br />Organization Schedule, acting pursuant to a written contract or agreement between you and such person or <br />organization, is an insured; but they are insureds only with respect to liability arising out of you <br />operations, or your premises, if you are obligated, pursuant to such contract or agreement, to provide <br />them with such insurance as is afforded by this policy. <br />However, no such person or organization is an insured with respect to any: <br />assumption of liability by them in a contract or agreement. This limitation does not apply to <br />the liability for damages for injury or damage, to which this insurance applies, that the person <br />or organization would have in the absence of such contract or agreement, <br />damages arising out of their sole negligence. <br />Schedule <br />The City of Santa Ana (including its officers, employees, agents, <br />Volunteers and representatives) <br />Attn: Christy Kindig <br />P. O. Box 1968, M -21 <br />Santa Ana, Ca. 92702 <br />Liability Insurance Additional Insured - Scheduled Person Or Organization continued <br />Form 80 -02 -2367 (Rev. 8 -04) Endorsement Page 1 <br />