<br />'.
<br />
<br />saF-INSURED EXCESS
<br />
<br />THIS ENDORSElvlENT CHANGES THE POLICY. PLE:ASE READ IT CAREFULLY
<br />
<br />BLANKET ADDITIONAL INSURED
<br />(CONTRACTORS)
<br />
<br />This endorsement modifies insurance provided under the following:
<br />SElf-INSURED I'iXcess COMMERCIAL GENERAL LIABILITY COVERAGE FORM
<br />
<br />1. WHO IS AN INSURED - (section II) is amended to include any person or organization that you agree In a
<br />"written contract requiring insurance" to Include as an additional insured on this Coverage Part, but:
<br />
<br />a) Only whh respect to liabnlty for "bodily injury", "property damage" or "personal Injury"; and
<br />
<br />b) If, and only to the extent that. the injury or demage is caused by aels or omissions of you or your
<br />subcOntractor In the performance of "your work" to which the "wrttten contract requiring insurance'
<br />applies. The pe1'$On Or organization does not qualifY as an addhlonallnsured with respect to the
<br />Independent aels or omissions of $Uch person or organization,
<br />
<br />2. The Insurance provided to the addhlon"llnsured by this endorsement Is limited as follows:
<br />
<br />a) in the event that the Limits of Insurance of this Coverage Part shown in the Declerations ""ceed the
<br />limits of liability required by the "Written contract requirtng Insurance", the insurance provided to the
<br />addiijonallnsured shall be limited to the limits of liability required by that "written c(>ntract requiTing
<br />insuranceN. This endorsement shall not increase the limits of insurance described in Sectlon III ~
<br />Limits Of Insurance.
<br />
<br />b) The Insurance prOvided to the addilionallnsured does not apply to "bodily injury", ''property damage"
<br />or "personal Injury" atising out of !he rendering 'of, or failure to render, any professional archi\ectural.
<br />engineering or surveying services, inclUding;
<br />
<br />I. The preparing, approving, or failing 10 prepare or approve, maps, ahop drawmgs, opinions,
<br />reports, surveys, field orders or change orders, or !he preparing, approving, or failing to prep"re
<br />or approve, drawings and speclflcalions; and
<br />
<br />n. SUpervisory, inspection, architectural or engineertng actiVittes.
<br />
<br />8) 1'\1$ Insurance provided to the additional insured does not apply 1D "bodily injury" or "property
<br />damage" caused by "your work" and Included in the "produots-completed operations h;lZSrd"
<br />unless !he "Written contract requlr1ng lnsurancIl" specifically requires you to provide such
<br />coverage for that additional il>sured, end then \he InslJflInce provided to the additional insured
<br />eppliea only to such "badDy Injury" or 'property damage" that oCOlll'S before the end of the period
<br />of time for which the "WllIlen contraol requiTing Insurance" requires you to Pr<1>llde such
<br />coverage or the and of the policy period, whichever is earlier.
<br />
<br />3. Subp~h (1naj of the Pollullon exclusion under ParElgraph 2., Exclusions of Coverage A. Bodily
<br />Injury and Property Damage Uabtlity (SecIioI'\ 1- CoveragB$) does not epply to you if the "bodlly Injury" or
<br />"property damage" is caused by '')ioUr work" performed at any premises, site or location which is owned bY,
<br />or rented to, the additional insured at the time 'your work" is performed thera.
<br />
<br />4, The Insurance provided to the addlUOI1allnsured by this endorsement is excess over any valid end
<br />collectible "other insurance", whether primary, excess, contingent or 011 eny other basis, that Is available to
<br />the additional Insured for a loss we cover under this endorsement. However, if the "wrlIten contract
<br />requiring insurance' speolfioeny requi1'e$ that this insurance apply on a primary basiS or a primary and non-
<br />contributory baSls, thIs insurance will apply IS If .other Insurance' available to the addllional insured WhIch
<br />covers that person or orgen~n as a named insured for such loss does not exlsl, "nd we Will not $hare
<br />with that "other Insuranca", But.the Insurance provlded to the sddillonallnsured by thIs endorsement stili Is
<br />excess over any valid and collectible "oltler ;ll$UI'anc:e", Whether primary, exoess, oonllngenl or on any
<br />other basis, that is available to the additional insured when that person cr org!li!~on Is an additional
<br />insured under such "other insurElnce'. O"fS'.
<br />
<br />5. As a cOndition of ooverage provided to the additional insured by this~ement:
<br />
<br />EXG373 01 00
<br />
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