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~SEP 30 '04 09:44 FR041: <br />T-234 P.ll3/03 F-243 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS <br />(TENDER OF ANY LOSS TO OTHER AVAILABLE INSURANCE, AND EXCLUSION OF EMPLOYEE INJURY) <br />This endorcemantmodifiesinsurance providadunder the following: <br />COMIMERCIAL GENERAL LIABILITY COVERAGE FORM <br />This endorsement changes the policy effective on the inception date of the policy unless another date is <br />Attached to and forming a part of Policy <br />000530 <br />n is required only when <br />Endorcemant Number <br />subsequantto preparation oT <br />Authorized Representative D°T° <br />SCHEDULE <br />Nems of Person or Organization: <br />City of sant:e Ana <br />60 Civic Center Plaza, ~ q97 <br />Santa Ana, CA 92701 <br />This endatsemant is proVidao in consideration o} an additional premium. <br />Premium: 100 E:xposura: Only the person or organizacionnamed <br />Who le An Inaurad (Section II- is amended to <br />include as en insured the parson or organization <br />shown in the SCHEDULE, but only with respect <br />to liability arising out of your ongoing opacts1OOr <br />performed for that insured, including <br />omissions of the Additional Insured in connection <br />with the general supervision of such operations. <br />Except as provided above, this insurance does <br />not apply to any "bodily injury," "property <br />damage" or "personal en<I advarticing injury" <br />arising out of or resulting from the neglect or <br />negligence of the Additional Inaurad deaeribad in <br />this endorsement. <br />The company will have no duty to defend any "suit" <br />which alleges neglect or negligence of the <br />Additional Insured. <br />If other valid and collectible insurance is available <br />tc the parson or organization shown in the <br />SCHEDULE for a loss wa cover under Coverage A <br />or B of the Coverage form to which this <br />endorsement stteehea, than the parson or <br />organization shown must also tender any loss to <br />each such other insurance. Should such other <br />insurance apply, then this insurance is excess <br />aver any other such Insurance. <br />Cla ssifi tali on Cade: 49960 <br />This insurance does not apply to any "bodily <br />injury" to: <br />a, An "employee" of any Insured, or a <br />person hired to do work for or on behalf <br />of any insured or a tenant of any insured, <br />that arises out of and in the course of: <br />(11 Employment by any insured; cr <br />(Q) Performing duties related to the <br />conduct of any inaurod's 6uainesc; or <br />N b. The spouse, child, parent, brother ar <br />sister of that "employee" as a cen- <br />seouence of Paragraph a. above. <br />This exclusionapplies: <br />8. amhployeraor11in any othab eaPae iy;0and <br />b. To anV obligation to share damages with <br />or repay someone else who must pay <br />damages because of the injury. <br />These provisions and exclusions apply in addition <br />to those contained in the Coverage Form. All of <br />the provisions and exclusions of the policy that <br />apply to LIABILITY COVERAGES also apply to <br />this endorsement. <br />Paae 1 of 1 <br />