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<br />CITY S R - ENG 3RD FL. Fax:714-647-5635 <br /> <br />Feb 26 2007 8:49 <br /> <br />P.04 <br /> <br />Additional Insured - Automatic ~ Owners, Lessees Or <br />Contractors. Broad Form <br /> <br />€j <br />ZURICH <br /> <br />NlIIllld ,"".Nd: POlIt, Buckley, Schuh" Jemlv,n, 11'10. d/b/, PBS&J <br />Named r",uNd Includll' W Koo" AI'celm, 11'10 a dlvllllon of PBi&J <br /> <br /> . . .. .., <br />1'01101 No, llII', II... .r Pol. Ilwp. Du. of Pol. m. Doll 01 l!IId. Pmcluetr Add". !'rem Retum Prm>. <br />GL09139458-00 D9fJO/06 09"0107 09130106 s S <br /> <br />TIDS ENDORSEMENT CILU'IGD TIlE roLICY. PLEASE READ IT CAItEllULL Y. <br /> <br />This endOl1Clllont modi/\eo inlurancc ptovidod u.ndor Ill.: <br />Commarelol GoIUll"a1 Llabntty Conr... 1'.rt <br /> <br />A, WIIO IS AN INSURED (Settlon OJ illDlODded lD include u on inaurcd MY pereon Of organization whom )'CU Iln: JCqIJlrcd <br />lD ,del U lIIl additionallnaun:cl on this policy UlI<lor I wrilll:n dOlllrlCI Dr II'littorlalretIIIfM. <br /> <br />B. The inalnllCC provided to addlrion.1 imumh '1lJl11O. only 10 "bodily irljllt)"', "prcijlO1'ly dlllD"o' or 'porsonal and adverti.. <br />iJl8 il\i~' co~d ~~ S,olloll I, Cover.g. Ai BODILY INJtlJtY AND PROpnTV nAMAGIt LlAll1LITY md <br />Cover... B. PERSONAL AND ADVERTISING INJURY LIABILITY, wi DDiy if <br /> <br />1. Tho "bodily InJ\lIY" or "property damage" ","';Us ftom your noalisonca: llJld <br />2. Thl "bodily I11jury", ''propel'll'damaga" or "perBOllolllJld adver1i.oq inJ~' reml" diroctly ftoom: <br /> <br />a. Yo"," onlOittA opcnUOI\ll; or <br /> <br />b. 'Your work" completed II Includld In 1M "produclI-cOmp!Ollld OpOl'lllOIll ward", <br /> <br /> <br />~,"lOd for tho oddilionll iuallttd, which i.lIle .ubj,c! ofth. 'OlIJ'inon co",,"et or wrlllen asreemellL <br /> <br />C. Ho__, lOlIordl... of tho prowlona of paraifll'hl A. IlIli B. .bov.: <br /> <br />1. We wiU nol extend any inlurancc coverago to ony additional intured pUllon or orpnizatioD: <br /> <br />a. That I. not provided to you in this policy; or <br />b. That I. any broader oo""",ge than you or. required to provide in Ih. IddiUonl1 in....d pel10n Dr .tJlllllzltiOll ilIlhe <br />wril1ell COIlll'Gt 01' wntlcn .UOImon~ Ind <br />2. W.. wlU not providel.in:1ira .fIntUMoe to any oddilional i~ per.... or organization that o.ceed rhe lower of: <br />A. The Lilnill of Inl11ronOll provided ro you in till. policy; or <br />b. The Urni" Oflnl\!fllll" )'Cu are ~uired to provide in the written cenrract or writn:n lpeoment <br />D. The jnf\lf.nee provided 10 thl additiOlUI insured pouon or organization doe. nOI opply to: <br /> <br />I. "Bodily injury", "property damoge" Dr "personal ond advertising inJIll)''' that relulta .o!e]y ITom nalllson.. of rhe addi. <br />tionallruured: or <br /> <br />2. ''Bodily iI!JUIY", "property dam.... DI' "~I lod ,dvlni,ing InJUf)" ar!lfng OU! of till ..mdering or fillure to <br />reMer InY prore..ll1l>IlI_bi1oclur,l, eJllli-olti. ~f """",yin\! lorviu. incloding: <br />I'\i i'1-{v'~ tiLl r\...) l'J l"OnM <br /> <br />_._._..--~-i/~ <br /> <br />Lnura ~j.t! .s:~~~~~i/ <br />'rftlril4lHte6p)'"~{"".tlrtlilll.of IMUfIlnc8 ~ Otnca. lno. with Its permlalOn.. <br /> <br />u.oL-l11S-ACW(9I03) <br />Pop I ,12 <br /> <br /> <br />