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<br />ete: SfllZ005 Time: ~:Zl AM To: City 0.1: Santa Ana (!I 9,1-n4-647-6S30
<br />Page: 004
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<br />City of Santa Ana
<br />:ertificate ;ssued to City of Santa Ana
<br />~en Dunn Insurance Serv;ces
<br />'9/01/2005
<br />lamed Insured: Cooperative Personnel Se~"J;ces
<br />arrier; Travelers Indemnlty Com~any
<br />ffective Date: C7/01/2005
<br />'ch cy Number: P6307704A197TIL05
<br />ommer::lal General Liao'.llty
<br />
<br />09/01/2005
<br />
<br />COMMERCIAL GENERAL LIABILITY
<br />
<br />HIS ENDORSEMENT CHANGES THE POLICY. P_EASE Rt:AD IT:ARtFULlY
<br />LANKET ADDITIONAL INSURED
<br />CONTRACTORS)
<br />his endorsemert rnodifH!!S lnsurance pr::rt,,,ded under t~!' folloVJ~f"1g:
<br />OMMERCIAL GENERAL LIA3ILITv COVERAGE PART
<br />OMMERCIAL GENERAL LIA3ILI7v - CONTRACTORS COVEeAGE PART
<br />
<br />w~o IS AN INSURED - (section II) is amended to i~::lLlde any per""so.'1 01" organization you are requlred
<br />c include as an additional 'nsured on this policy I::-y 3. wl"itter ccntra<:t or written agreement ~r. effect
<br />luring this policy perlod and signed and executed by y.:)u ~r'"or tc. the loss "::;or whieh covel~age is sought.
<br />he person or organizati on does not qua 11 fy as an addl ti ona ~ i nSL.I~ed w~ th respect to the i ndepet'loent act::.
<br />.I~ omiss1ons of such person or organization. He pel~S:J1 or orgun"izatiDn 15 Conly an add1tional 1nsured
<br />.ith respect to 1 ;3.bil ity caused by "y,~.;;", work" fer that add~ tional insured"
<br />
<br />Tr,e insured pro...'lded to the additiona: "inst,;red is lin"ted as follows:
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<br />) In ~he event that the limits of 1iabi",ty stated ln the policy ex;:eeds the limits of ;'abl1ity
<br />equired by a wr,tten ::ontl~act 0:'" written agreenlent in effect durlng this pol"lcy period and signed and
<br />xecuted by you prier to the loss for which coverage is sought, the insu~ance prcvided by th1s
<br />.ndorselnent shall be 1 imi red to the 1; :ni ts of 1 iab. 1 i ty -equ" red by SU:;'1 contract or a;reement. Thi 5
<br />'ndorSEment shall not herease the limits stated in Se::t;oil II - LIMITS OF H15URANCE.
<br />) The; nsurance prlJvi ded to the add; t1 ona 1 insured does t)ot appl y co "bodi 1 y i njur'l", "propetty
<br />'amage", "'perso(1al injlJ:~/" or "aavertis~ng injury" aris1ng out of an ar,:h1tec~ls, engineer's or
<br />urvey::>;""s rendering of or fai'lure to I~ender an)' J;rofe:ssional services inc"uding:
<br />r"E:: prepar'i ng, ap_::;~ovl ng or fai 11"9 to p)"epare or approve maps I snop drawi ngs, 0::>1 ni ons I '"eports I
<br />urveys, fie:d orders, ~hange orders, 0- drawings and soec~~"at1ons; and
<br />I. Supervisory or -i"\spectior' acti'Jities performed as part of arc)' related arc:hitect~,"al or ergineeri"g
<br />ctlvitles.
<br />
<br />,C 02461002 COP'Ir1ght, The irave"iers Inderr:rllty ':ompany, 2002 Page:' of 2
<br />) This 'nsurance does not apply to "bodily inJur:)'" 0" "property damage" caused by "your work"
<br />ncluded 1n the ""products-completed oper-a":ions ba:Zard"~nless YOk..: :Ire required 1:C provide such cGven,ge
<br />~r the addltioral ins~,ed by a writte, contract or written ag~eement i1 ef~ect Guring this policy period
<br />nd sig'1ed and e>.ecut~d by you prior t:J the ":055 for Whl.::h cov'~rage is sought arc then onl/ 'ro:"" the
<br />ler'10d of t~me required by suer contract or agreement a....ci In no event beyond the expiration date o~ tn,?
<br />oliey.
<br />S;;bpart (l)(a) of the PollLtion exclu5~or l.<nder Pa!~agrapl- 2., Exclusions of Bodily InJury and
<br />roperty Damage Liability (overage (Section I - Caver;;lg,?s) doe!: net ap:?lf to YOu if the "'bod,ly injl,.;ry.'
<br />r "pl-ope!~ty damage" ~.rises out of "Y:Ju'~ wor"k" perfCr1led on prem.;ses w:'ich are (owned or rent~d b)' the
<br />dd,tic1al l"lsur"ed at the til11e "ycur,"':F(" ~s performed.
<br />A.'1Y coverage provided by this endOi"Semet1t to an adcht-onal 'insured shall be excess over any oth.:::,~
<br />alia a"d co;lectible insurance ava"ila.,le to tre additicllal ""'lsLred wh<:ther prin'ary, ex::ess. contingent
<br />r 0:1 ar.y other basis ;,J,11ess CJ. written ::ontl"act or written agreement in ef'::ect curing tlis policy pei'll)d
<br />nd signed ar,ci executed by you pr-10r t:> -:he 'oss for ;,vhich coverage ls sought specifically requir'es that
<br />ris ","1surance apply on a primary at" ~lOn-contr'~butory .::.as,s. When 1:1115 lnsurance 15 ;J'rHlary arc thel~~
<br />s ot:bei ~ nsur-ance avai 1 abl e to the addi ti ana I 'i rsu:~ed f'~on an}' scurce, we v.i'11 share '.vi th that ctl"1er'
<br />n5ura~ce by the rnethod clesui be:d in t"le pOi - cy_
<br />,""s a condit"lon of coverage, each addlt-onal ~n.s~I~ed t"i1u~h:
<br />
<br />APPROVED /\S 10 fORM
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