Laserfiche WebLink
Hiscox Insurance Company Inc. <br />Endorsement 31 <br />NAMED INSURED: Alicia Rojas <br />Additional Insured Endorsement (Designated Person or Organization) <br />•10 <br />HISCOX <br />encourage courage <br />Page 1 of 1 <br />In consideration of the premium charged, and on the understanding this endorsement leaves all other terms, conditions, <br />and exclusions unchanged, it is agreed the General Liability Coverage Part is amended as follows: <br />SCHEDULE <br />Name of Person(s) or Organization(s): <br />The City of Santa Ana, its officers, officials, employees and volunteers <br />I. The following is added to the end of Section III. Who is an insured: <br />DP -A. Designated person or Any person(s) or organization(s) shown in the Schedule above will be added to this <br />organization Coverage Part as an additional insured, but only with respect to their liability for bodily <br />injury, property damage, or personal and advertising injury arising out of: <br />1, your acts or omissions; <br />2. the acts or omissions of those acting on your behalf in the performance of your <br />ongoing operations; or <br />3. in connection with premises owned by or rented to you. <br />However, the coverage afforded to such additional insured(s): <br />a. applies only to the extent permitted bylaw; and <br />b. will not be broader than you are required by contractor agreement to provide for <br />such additional insured(s). <br />If coverage provided to the additional insured(s) listed in the Schedule above is <br />required by a contract or agreement, the most we will pay on behalf of any such <br />additional insured is the amount of insurance: <br />I. required by such contract or agreement; or <br />ii. available under the applicable limits stated in the Declarations, whichever is less. <br />II. This Endorsement will not increase the applicable limits stated in the Declarations. <br />Endorsement Effective: January 23, 2024 <br />By: Kevin Kerridge <br />(Appointed Representative) <br />BOP-GL E5003 CW (11119) <br />Policy No.: P101.174.712.2 <br />APPROVED <br />By Cynthia Mora at 8:31 am, Dec 04, 2024 <br />Includes copyrighted material of Insurance <br />Services Office, Inc. with its permission <br />