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PECK, JOSEPH
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PECK, JOSEPH
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Last modified
3/25/2020 11:41:58 AM
Creation date
7/10/2018 2:17:18 PM
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Template:
Contracts
Company Name
PECK, JOSEPH
Contract #
N-2018-123
Agency
Parks, Recreation, & Community Services
Expiration Date
7/10/2018
Insurance Exp Date
3/31/2019
Destruction Year
2023
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Sadler Sports: Entertainers / Performers Insurance Plan <br />ISO I Commercial General Liability Forms 101/01/96 <br />POLICY NUMBER: RPG0000006071100 <br />INSURED: Joseph Peck <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 11 04 11 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />1. Designation of Premises (Part Leased To You): <br />2. Name of Person or Organization (Additional Insured): <br />City of Santa Ana, its officers, agents, and employees <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />3. Additional Premium: none <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A Section II - Who Is An Insured is amended to include as an <br />additional insured the person(s) or organization(s) shown in the <br />Schedule, but only with respect to liability arising out of the <br />ownership, maintenance or use of that part of the premises leased to <br />you and shown in the Schedule and subject to the following <br />additional exclusions: This insurance does not apply to: <br />1. Any "occurrence" which takes place after you cease to be a <br />tenant in that premises, <br />2. Structural alterations, new construction or demolition operations <br />performed by or on behalf of the person(s) or organization(s) <br />shown in the Schedule. <br />However: <br />1. The insurance afforded to such additional insured only applies <br />to the extent permitted by law; and <br />Date Added: 02/13/2018 02:19:09 PM <br />CG 2011 0413 <br />2. If coverage provided to the additional insured is required by a <br />contract or agreement, the insurance afforded to such additional <br />Insured will not be broader than that which you are required by the <br />contract or agreement to provide for such additional insured. <br />S. With respect to the insurance afforded to these additional <br />insureds, the following is added to Section III- Limits Of Insurance: <br />If coverage provided to the additional insured is required by a <br />contract or agreement, the most we will pay on behalf of the <br />additional insured is the amount of insurance: <br />1. Required by the contract or agreement; or <br />2. Available under the applicable Limits of Insurance shown in the <br />Declarations; <br />whichever is less. <br />This endorsement shall not increase the applicable Limits of <br />Insurance shown in the Declarations. <br />Copyright, Insurance Services Office, Inc., 2012 <br />Page 1 of 1 <br />
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