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<br />.. <br />. <br /> <br />,~e: 9/11Z00~ Time: ~:Z1 AM To: City Of 5a.nta. Ana. l!! 8,1-714-647-6930 <br />pa.ge: 004 <br /> <br />City of Santa Ana <br />:ertif;cate issued to City of Santa Ana <br />~en Dunn Insurance Services <br />'9/01/2005 <br />lamed Insul"'ed: Cooperative Personnel Se~"~;ce5 <br />arrier: Travelers Indemnlty Com~any <br />ffective D.te: 07/01/2005 <br />'~licy Numb~r: P6307704A197TIL05 <br />Ol11mer~'al General Liao'.lity <br /> <br />-. <br /> <br />09/01/2005 <br /> <br />- <br /> <br />COMMERCIAL ~=NERAL LIABILITY <br /> <br />rllS E~OOR5EMENT CHANGES THE POi..ICY. P_E~SE Rf:AD IT :ARcFULL Y <br />LANKET ADDITIONAL !NSURED <br />CONTRACTORS) <br />'nis endorsemert M'lodifH!!S lnsurance pr:ro/lded under t"he follov'~rll;: <br />OMMERCIAL GENERAL LIA3ILITv COVERAGE PART <br />OMMERCIAL GENERAL lIA31l1~v . CON1RACTORS COVEcAGE PART <br /> <br />W10 !S AN INSUREO - (section II) is am~ndec to b:hlde any pels.o" or organizatior'l you are reqUlred <br />c include as an addit10nal ~n5lJred on th;~ policy ty :l \l.Tittef' ccntra.:t or written agreement ~r. effect <br />IW...lng thls policy perlod and signed and executed by yo.u ~"'~or tc the loss ":;;or which covel-age is sought. <br />he person or Clrganizati on does not qua 11 fy as an ackh ciona ~ i nSl,IRed w~ th respect to the i ndepet"oent act::. <br />.1- omisslons of such person or organ"izatiol1. TI'-e per.s:J1 or orgun"izat1oli 150 onlY an addltiona1 lnsured <br />;ith T'e'soect to li~bility caused by "Yo,;; wor"" fer that add~ tional ins;;red. <br /> <br />Tl.,e insured provided to the additiona: lns!';l'"ec:i is lin"ted as follows: <br /> <br />) VI ":he event that t:he limits of 1i.1bi.~t)' stated In the po1;cy ex;:eeds the limits of ~'ability <br />equit'"ed by a Written contI-act c:" written agreement in effect dUrlng this pol"!cy period and signed and <br />xecuted by you prier to the loss for wnicn co~~rage is sought, the insw~ance prcvided by thlS <br />'ndorse1nent shall be 1 im) ted to the 1; mi ts of 1iab~ 1; ty -equ' r~d by SU:;'1 contract or a~_-eernent. Tni 5 <br />'ndors~mellt shall not i1crease the limits stated in 'Se:tion 11 . LIMI'"S 0;: !N~URANCE. <br />) T~e; nsurance prlJv; ded to the add; t1 ona 1 insur'ed does I'ot appl y co "bod; ly injury", "propei"ty <br />'altlage", "persof1al inju:~/" or "aovertis~1l9 'injury" arislng out of an ar.:.h1tec~'s, engi:"\eer's or <br />ur'Vey:)i"s rendering of or fai'lure to t.endf::r any r;.rofessional services ;nc'udinQ: <br />PH: prepar~ng, ap_::;-ov~n9 or f3111'19 to pl"eFare or approve map5, snap drawings, ooinion5, '"Eports, <br />urveys, fie:d orders, ~hange ordet'"s, ~- drawings and s'e~~~"at'ons; and <br />I. 5uperv'isor-,. or -i'1spect;or' activities performed as part of ary related architect~,"al or ergineeri1g <br />c:;tlvit1es, <br /> <br />,C 02 46 10 02 COPyrl gilt, The Trave'! el's IndElT.nl ty ':ompany. 2002 Page ~ of 2 <br />) This ,nsurance ::l-:>es not apply to "bodily inJury" 0'" "property damage" ca\Jsed by "your lvor/.." <br />nc1uded 1n the "/=roducts-completed oper.a::ions l"a2ard"~nless yol..: .J.re required tc provide such coven.9.e <br />~r the addltiora: ins~red by a wr;tte1 contract or written ag~eement i1 ef~ec~ curing this policy period <br />nd sig"ed and e>.ecut.~d by YOll prior t., the ':oss for ~hl.::h cov.-:rage ;5 sought arc then onl! 'fo:"' tho!! <br />ler'1od of t~me reqUired by suer contract or <!9rtement al"o ln no event oeyond the expiration datE c~ tn,=: <br />olicy. <br />5~bpart (l)(a) of the PollLtion exclu5~or Lnder Pa!Ragt'"~pr 2., Exclusions of Bodily InJury and <br />roperty Damage l.iability Covera.ge (Section I - Cover;;Jgt:s) dOE~ t\ct: ap~li to yOu if the "bod,l)' injl.ry" <br />I'" "property damago!!" c.ri:su out of "y::nv work" perfCr1led on prem';ses w!1ich are (owned or rt'!nt'!d 1:.)' the <br />dd1tic1a.l 'i"'lsured at the tlllle "yew' -'VF(" 'S perfor1ni!d. <br />Any co'..erage pro\Jided by this endoi-nr;let1t to a.n adciit"ona! 'insured shall be exces.s over an)' oth~'" <br />alia 3,.1d co'lectible lrlsl,.jrance a\l,aila.,le to tl-e additic!1.:3,1 ""lsLned wh'!tner prin'ary, ex.::ess. contingent <br />.1'" 0:1 My other ~-as"is ;J.11ess a written -:ol"\tl'act or written a9reernent in ef-=ect curing t1is policy pen,)d <br />nd signed ar.ri E:xecuted by you pt"'10r t:: ~he 'oss for '-'Vh;ch coverage is sought 5pecif;cally requi~'es th3.t <br />ris -;'1suranc.f! apply "rl a primary or" :'1on-con1:r'~butory ~aS1S, When 1:hls lnsurance 15 ,:)r1mary arc ther~ <br />50 v~bel"' -insura.nce availal>le to the addit:ion"i irSLred f'~on an,)' scun:e. loVe v.i"11 share with that ~ther' <br />nsura;"lce by the 'neth!:'d clescribe.d 11'1 t~Je po""cy_ <br />As a condit~on of coverage, each addl t - ona 1 ~ n,s~l.erl r.lu~h: <br /> <br />APPROVElJ !\S 1'0 10lU'll <br /> <br />.Y;Z>)/~ <br />-'--TL~:~;~l \'-_U~Y--- <br /> <br />.',J'-.Li,J: (c_:ity ,\U',)I";.:\ <br />