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<br />.te: 9/1/Z00~ Time: 9:21 AM
<br />Page: 004
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<br />'1'0: i;ity 01. 5anta Ana @ 9.1-714-647-6930
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<br />City of Santa Ana
<br />:erti f'icate issued to City of Santa Ana
<br />~en Dunn Insurance Services
<br />'9/01/2005
<br />lamed Insured: Cooperative Personnel Sei'vicF.!s
<br />arrier: Travelers Indemnlty Company
<br />ffectlve Date; 07/01/2005
<br />'~licy Number; P630n04A197TIL05
<br />ommerclal General Liab~lity
<br />
<br />09/01/Z005
<br />
<br />COMMERCIAL ~=NERAL LIABILITY
<br />
<br />rlIS E"JDORSEMENT CHANGES THE POl.ICY. P_EASE READ IT ':AR[FULl Y
<br />LANKET ADDITIONAL INSURED
<br />CONTRACTORS)
<br />his ~ndorsemert lTIoclifH~S lnsurance pr::rt,,,ded under t~e fai1oVJ~f"1g:
<br />OMMERCIAL GENERAL LIA3ILITv COVERAGE PART
<br />OMMERCIAL GENERAL LIA3lLl7Y - CONTRACTORS COVEcACE PART
<br />
<br />WrlO :S AN INSURED - (section II) 15 amendec to i,:111de any person 01" organization you are requlred
<br />c lnc1ude as an additional 'nsured on this policy by a writte,-, ccntract or written agreement ~r; effect
<br />luring thls polley per10d and signed and executed by y,:)u pr'"or te, the loss -=or which covel~age is sought.
<br />he person or organizab on does not qua 11 fy as an add1 ti ona~ i T1sL,I-ed w~ th respect to the i ndeper-aent act~
<br />'I~ (,')0115510ns of such person or organ1zation, The perS:J1 or orgunizatian lS only an additional 1nsured
<br />"ith respect to 1 ;3.bil ity caused by "Y':>...l;'" work" fer that. .:.ddi tional ins'-Ired.
<br />
<br />T.,e insured pl~o,..'ided to the additiona: inSLOred 15 iin-ted as follows:
<br />
<br />) In ::he event that <:he limits of li abi' ~ ty stated 1 n the po ~ i cy ex:eeds t~e 1 imi ts of "1-; abll i ty
<br />equ1red by a written ::Ol1tl~act 0:'" '^,ritten agreerllent in effect durlng th1S policy period and signed and
<br />xecuted by you prior to the 105s fo!~ which coverage is sought, the insu-ance prcv;ded by th1s
<br />'ndorsernent shall be limi<:ed to the li:nits of iiab,lity ~eq",~red by SU::'1 contract or a;reement. This
<br />ndol""sement shall net i1crease the l1mits stated in Se::tion 11 " LIMITS OF INSURANCE.
<br />) The insurance pr')vi ded to the add; t' ona 1 insured does not appl y '(0 "bod; 1 y ; njury", "property
<br />iamage", "persoral injlJ:~Y" or "aovertis'i119 injury" arislng out of an ar,:h1tect's, engineel"'s or
<br />urveyor's rendel-ing of or fa1'lLwe to render any professional services inc"uding:
<br />T"lE,: prepari ng, ap;::'~OVi r>g or fai 1 i r"lg to pl~epare ar apprul,'e maps, shop drawi ngs to:); nl ons, t"E:ports,
<br />urveys. fi e I d orders, change orders, 0:- drawi ngs and spec-:';;~ ..:atlons; and
<br />t. Supervisory ori~,spectior' acti"",ities performed as par-t of any related arc;hitect.Jral ::::>r er:9ineer;r"l~
<br />c:t1vltles.
<br />
<br />C D2 45 10 02 COPYI~1ght, The Trave:ers Indemrllty ~omr.any, 2002;:1age .:.. of 2
<br />) T.,1S insurance does not apply to "bod~ly inJur).''' 0'" "property damage" caused by "your \f,ark"
<br />ncluded in the "products-completed opei~a':;ons ra2ard" '-lnless YOL; are required t:c provide such c'::Iver3.ge
<br />'cr the ad,hbol1al ins'.Jred by a writte1 contract or written agreement in ef-Fect curing this policy period
<br />nd sigr'led and e>.ecuted by you pr"'ior t':l ::he -:055 for ....hH:h cov'~rage is sought 2nd then only "fo"~ the
<br />lenod of t~me requ~red by sucr contract or agreement ar;d in no event oeyond the exp"'iration date o~ tn=
<br />ollcy.
<br />Subpart (l)(a) of the PollL.;tion exclus~or L:nder Pa!~agrapl- 2., Exclusions of Bodily Injury and
<br />roperty Damage llabilltv Coverage (Section 1 - Ccverag,=s) does net apply to yOI.J if the '.bod11y inJl..ory"
<br />;r "pl~ope!.ty damage" ~,rises out of "you;~ work" perfor'lled on prerr~ses w1;c:h are owned or rent~d by the
<br />dditic1al ,.,sured at tne time "your ",,":),~!,"' "5 performed.
<br />Any coverage pr,:r.lided by thls endo:"ser,lent to an adci"it:"o!'\al insured shall be excess over any oth~'"
<br />alid 31d co~lectible insurance a\la"ilable to tre additicnal '''lsL.red whether prln:ary, excess, contingent
<br />r 0;1 ar.y other basls u11ess a writ:ten:ontTact or written agreement "in ef-=ect curing t1is policy pel~i'Jd
<br />nd 51 gned ar.ci executed by you pn or tv ~he . oss for Nhi -:h coverage ; s sought spec; fi call '/ I"equi ~'es that
<br />r"i5 -,'"!$urancE' apply on a primary 01" 'ol1-contr~butory ~as,s, Wr.en t~is lnsurance 15 p,--jmary a~c there
<br />5 o'!:ber ~nsLlrance available to the add;t1onal 1~sul~ed fl~on an)' SCUI-ce, we v,-l' share with that other'
<br />nSLlra;l':e by the rnethod cJesC/'i be:d i n t~le poi - cy.
<br />~s a condlt~on of coverage, each adclt'onal ~nsured mu~h;
<br />
<br />APPROVED AS 10 lORJ\!J
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