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POLICY #: 7180096900004 EFFECTIVE: 08/01/2010 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br />ADDITIONAL INSURED <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART and GL CONTRACTORS <br />EXTENDER FORM VCG 206 02 05 <br />a. COMMERCIAL GENERAL LIABILITY COVERAGE FROM CG 00 01 12 04 is amended by the following wording. <br />b. GL CONTRACTORS EXTENDER paragraph 1. ADDITIONAL INSURED - REQUIRED IN CONTRACT, <br />AGREEMENT OR PERMIT is deleted and replaced by the following wording. <br />1. WHO IS AN INSURED - (Section II) is c) This insurance does not apply to <br />amended to include as an additional insured "bodily injury: or "property damage" <br />any person or organization you are required to caused by "your work" included in <br />add as an additional insured under this policy the "products-completed operations <br />in a written contract or written agreement in hazard" unless you are required to <br />effect during this policy period and signed and provide such coverage for the <br />executed by you prior to the loss for which additional insured by a written <br />coverage is sought. The person or contract or written agreement in effect <br />organization does not qualify as an additional during this policy period and signed <br />insured with respect to the independent acts or and executed by you prior to the loss <br />omissions of such person or organization. The for which coverage is sought. <br />person or organization is only an additional 3. Subpart (1)(a) of the Pollution exclusion <br />insured with respect to liability for "bodily (Section I - Coverages, part 2. f. of the <br />injury", "property damage" or "personal and Commercial General Liability Coverage form) <br />advertising injury" caused by "your work" does not apply to you if the "bodily injury" or <br />performed under the written contract or written "property damage" arises out of "your work" <br />agreement. performed on premises which are owned or <br />2. The insurance provided to the additional rented by the additional insured at the time <br />insured is limited as follows: .your work" is performed. <br />a) This endorsement shall not increase 4. Any coverage provided by this endorsement to <br />the limits stated in Section III - an additional insured shall be excess over any <br />LIMITS OF INSURANCE. other valid and collectible insurance available <br />b) The insurance provided to the to the additional insured whether primary, <br />additional insured does not apply to excess, contingent or on any other basis unless <br />"bodily injury", "property damage", a written contract or written agreement in <br />or "personal and advertising injury" effect during this policy period and signed and <br />arising out of an architect's, executed by you prior to the loss for which <br />engineer's or surveyor's rendering of coverage is sought specifically requires that <br />or failure to render any professional this insurance apply on a primary and/or non- <br />services including: contributory basis. <br />1. The preparing, approving or 5. As a condition of coverage, each additional <br />failing to prepare or approve insured must: <br />maps, shop drawings, a) Give us prompt written notice of any <br />opinions, reports, surveys, "occurrence" or offense which may <br />field orders, change orders, result in a claim and prompt written <br />or drawings and notice of "suit". <br />specifications: and b) Immediately forward all legal papers <br />IL Supervisory or inspection to us, cooperate in the defense of any <br />activities performed as part actions, and otherwise comply with <br />of any related architectural policy conditions. <br />or engineering activities. <br />APPROVED AS TO FORM <br /> <br /> Laura Stitt Sheedy <br />ASC 00 10 01 98 Assistant City Attorney Page 1 of 1