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POLICY NUMBER: 68o2094L798 <br />COMMERICAL GENERAL LIABILITY <br />ISSUE DATES/3o/2009 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED <br />(ARCHITECTS, ENGINEERS AND SURVEYORS) <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />NAME OF PERSON(S) OR ORGANIZATION(S): <br />City of Santa Ana <br />Planning and Building Agency - M20 <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />PROJECT/LOCATION OF COVERED OPERATIONS: <br />Re: All Operations -- The City of Santa Ana, 20 Civic Center Plaza, <br />Santa Ana, California 92701; its officers, employees, agents, volunteers, <br />and representatives <br />PROVISIONS <br />A The following is added to WHO IS AN INSURED The insurance provided to such additional <br />(Section II): insured is limited as follows: <br />The person or organization shown in the Sched- <br />ule above is an additional insured on this Cover- d. This insurance does not apply to the render- <br />age Part, but only with respect to liability for bod- ing of or failure to render any "professional <br />ily injury", 'property damage" or 'personal injury services". <br />caused, in whole or in part, by your acts or omis- <br />sions or the acts or omissions of those acting on e. The limits of insurance afforded to the addi- <br />yourbehalf: tional insured shall be the limits which you <br /> agreed in that 'contract or agreement requir- <br />a. In the performance of your ongoing oper- ing insurance" to provide for that additional <br />ations; insured, or the limits shown in the <br /> <br />b. In connection with premises owned by or Declarations for this Coverage Part, <br />whichever are less. This endorsement does <br />rented to you; or not increase the limits of insurance stated in <br /> the LIMITS OF INSURANCE (Section III) for <br />C. In connection with your work and included this Coverage Part. <br />within the "products-completed operations <br />hazard." B. The following is added to Paragraph a. of 4. <br /> <br />Such person or organization does not qualify as Other Insurance in COMMERCIAL GENERAL <br />LIABILITY CONDITIONS (Section IV): <br />an additional insured for "bodily injury", "property <br />damage" or "personal injury' for which that <br />erso However, if you specifically agree in a contract or <br />agreement re <br />i <br />i <br />i <br />p <br />n <br />or organization has assumed liability in a contract qu <br />r <br />ng <br />nsurance that, for the addi- <br />tional insured shown n the Schedule, the insur- <br />oragreement. ance provided to that additional insured under <br /> this <br />P~P'P1r~O~T.~D 1~4~ TO FORM! <br /> ~~ ~ ~~ <br />~F~v~r,ivli ~ kauFr,~,~ <br />Chief Assist~rnt Ci`y ?,tsorney <br />CG D3 82 09 07 <br />©2007 The Travelers Companies, Inc. Page 1 <br />Includes the copyrighted material of Insurance Services Office Inc., with its permission <br />