Laserfiche WebLink
<br />~ <br /> <br />. <br /> <br />Scottsdale Insurance Company <br /> <br />COMMERCIAL GENERAL LIABILITY <br />. CG 20 IO 07 04 <br /> <br />RELAMPAGO DEL CIELO, INC., DBA: BALLET FOLKLORICO <br />Endorsement No.3 <br /> <br />VULCAN EXCESS & SURPLUS INS SERVICE <br />POLICY NUMBER: CLS 1244606 04028 R W 12/5/2006 <br />EFFECTIVE: 11/29/06 TO 03/07/07 <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - SCHEDULED PERSON OR <br />ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br />SCHEDULE <br /> <br />Name Of Additional Insured person(s) <br />Or Organization(s): Location(s) Of Covered Operations <br />CITY OF SANTA ANA AND ITS , <br />OFFICERS, AGENTS AND El\.1PLOYEES <br />ATTN: JOHN MALONEY <br />20 CIVIC CENTER PLACE <br />SANTA ANA, CA 92701 <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br /> <br />B. With respect to the insurance afforded to these additional <br />insureds, the following additional exclusions apply: <br />This insyrllp,pe-does not apply to "bodily injury" or <br />"properly damage" occurring after: <br />I. All work, including materials, parts or equipment furnished <br />in connection with such work, on the project (other than <br />service, maintemmce or repairs) to be performed by or on <br />behalf of the additional insured(s) at the location ofthe <br />covered operations has been completed; or <br />2. That portion of "your work" out of which the injury or <br />damage arises has been put to its intended use by any <br />person or organization other than another contractor or <br />subcontractor engaged in performing operations for a <br />principal as a part of the same project. <br />IT IS FURTHER AGREED THAT TillS INSURANCE SHALL BE PRIMARY AND NONCONTRIBUTORY BUT ONLY IN THE <br />EVENT OF THE NAMED INSURED'S SOLE NEGLIGENCE. <br /> <br />A. Section" - Who Is an Insured is amended to include as an <br />additional insured the person(s) or organization(s) shown in <br />the Schedule, but only with respect to liability for "bodily <br />injury", "property damage" or "personal and advertising <br />injury" caused, in whole or in part, by: <br /> <br />1. Your acts or omissions; or <br />2. The acts or omission of those acting on your behalf; <br /> <br />in the performance of your ongoing operations for the <br />additional insured(s) at the location(s) designated above. <br /> <br />Additional Premium <br />State Tax 3% <br />Stamping Fee. I 75 % <br />Processing Fee <br /> <br />$375.00 (FOR PRIMARY/NON-CONTRIB/OMNIBUS WORDING) <br />11.25 <br />.66 <br />$ 5.00 <br /> <br />Total Additional Premium $391.91 (Fully Earned Premium) <br /> <br />~?/i <br /> <br />CG 20 IO 07 04 <br /> <br />ISO Properties, Inc., 2004 <br /> <br />Page 1 of I <br />