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<br />SELF-INSURED F..xCr=SS
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<br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
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<br />BLANKET ADDITIONAL INSURED
<br />(CONtRACTORS)
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<br />This endorsement modifies Insurance provided uncler the followfng:
<br />SELf.INSURED f!!XCeSS COMMERCIAL GENERAL LIABILITY COVERAGE FORM
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<br />1. WHO IS AN iNSURED - (Sectlon II) is amencled to Include any person or organiza~on that you agree in a
<br />"written oontraot n>qulring insurance" to Include as an additional Insured on this Coverage Part, but:
<br />a} Only with respect to liability for "bodily Injury", "property damage" or "personal Injury"; and
<br />h} If, end only to the extant thet. the Il\IuI)I or demage 1$ oaused by aols or omissions of you or your
<br />subcontractor in the performance of ''your work" to which the "written contract requiring insurance"
<br />applies. The person Or organization does not qual/1Y Q$ an aclditionallnsured With respect to the
<br />Independent acts or omlSSllmS of $U<;h person or organization.
<br />2. The Insuranos provided to the add~lonallnsured by this endorsement Is limited as follows:
<br />a} In the event that the Limits of Insuranae of this Coverege Part shown In the Decleralions exceed the
<br />limits of liabiNty raqulred by the "written oontract requiring Insuranos", the insurance provided to li1e
<br />additionallnsurG>ct shall be limited to the limits of liability required by that .WI'it1en oontract requiring
<br />insuranceN. This endorsement shall not Irrcre8se the limits of insurance described In Section Iff...
<br />LimTls Of Insurance.
<br />b) The insurance provided to the additional Insured does not appiy to ''bodily illlury". "properly damage"
<br />or "personal Injury" arising out of the rendering 'of, or fallura to render, any professional archllecturel.
<br />engineering or surveying services, InClUding:
<br />I,. The preparing, approving, or lalilng to prepare or approve, meps, shop drElWings, opinions,
<br />reports, surveys, fleld orders or change orders, or tha preparing, approving, or falling to prepare
<br />or approve, drawings and speclllcations; and
<br />ii, Supervisory, inspection, architectural or engineering aclMties.
<br />a} Th& Insutance provided to the addlflOnal hisunad does not apply to "bodily Injury" or "property
<br />damage" caused by "your worre' and Inoluded In the "produots-completed operatiOI1$ hazard"
<br />unless the "wrftlen contract requiring Insurance" specltlcally requires you to provide such
<br />coverage for that addltlonalll'$urad, end then \11", 1l1$vrance provided to the additional Insured
<br />applies oniy to such "bodily Injury" or 'property damage' that occutS before the end of the period
<br />of time for which the "wriUen contract requiring Insurance" requIres yOU to provide such
<br />coverage or the end oftJhe policy psrlod, whichever rs earlier,
<br />3. SubparagraPh (1)(a) of the Pollution exclusion under Pllregreph 2" excfualons of COverage A. Bodily
<br />Injury and Property Damage liability (Section 1- CoversgO$) does not apply to you If the "bodily Injury" or
<br />'property damage' Is causad by "YoUr work" performed at any preml$l!I$, slta or location whlch Is owned by,
<br />or rented to, the additional insured at the time "your work" Is performed thare.
<br />4, The Insurance provkJed to the additional Insured by this endoraement is ~ over any valid end
<br />cclleolible 'other Insurance". whether primary, excess, contingent or on any other basis, that Is available to
<br />the acIdllional insured for a loss we cover under thls endorselnlmt, However, If the '"wrItlen contract
<br />requlrtng insurance' spaolficallY requlree that this lnauraJlGfl apply on a primary basis or s primary and non-
<br />contributory basis, this insurance will apply" If "other Insurance" avallabla to the add~lonallnsured which
<br />COV8IS that person or organl;wtfon as a named insured for such loss does no! exist, $/ld we Will net shara
<br />with that "other Insurance", But"the Insurance provided to Ihe additlonsllnsured by thfs endorsement atIl1ls
<br />excess over any valid and collectible 'olher insurance", whether primary, """"'ss, contingent or on any
<br />other basis, that is available to the addltionellnsurad when lhat parson or organ~lIon Is an additional
<br />Insured under such "other Insurllnce',
<br />5. AA EO cOIldllion of ooverage provided to 1I,e addillonallnsurad by this endorsement:
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<br />ex 03 73 01 oe
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<br />Cl2006, The Sf Paul Travelo", Companies, inc.
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<br />Pag&1012
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