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Entry Properties
Last modified
8/14/2018 9:53:52 AM
Creation date
7/31/2009 8:30:55 AM
Metadata
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Template:
Contracts
Company Name
TATSUMI AND PARTNERS
Contract #
A-2009-022
Agency
Planning & Building
Council Approval Date
3/2/2009
Expiration Date
9/1/2010
Insurance Exp Date
9/1/2019
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POLICY NUMBER: 68020941.400 <br />COMMERICAL GENERAL LIABILITY <br />ISSUE DATE: 06/17/2014 <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 />Attn: City Attorney <br />20 Civic Center Plaza (M-29) <br />P O Box 1988 <br />PROJECTILOCATION OF COVERED OPERATIONS: <br />City of Santa Ana, its officers, employees, agents, volunteers, and representatives <br />PROVISIONS <br />A. The following is added to WHO IS AN INSURED <br />(Section 11): <br />The person or organization shown in the Sched- <br />ule above is an additional ensured on this Cover- <br />age Part, but only with respect to liability for "bod- <br />ily injury", "property damage" or "personal injury" <br />caused, in whole or in part, by your acts or omis- <br />sions or the acts or omissions of those acting on <br />your behalf: <br />a. In the performance of your ongoing opera- <br />tions; <br />b. In connection with premises owned by or <br />rented to you; or <br />c. In connection with "your work" and included <br />within the "products -completed operations <br />hazard". <br />Such person or organization does not qualify as <br />an additional insured for "bodily injury", "property <br />damage" or "personal injury" for which that per- <br />son or organization has assumed liability in a con- <br />tract or agreement. <br />The insurance provided to such additional insured <br />is limited as follows: <br />d. This Insurance does not apply to the render- <br />ing of or failure to render any "professional <br />services". <br />e. The limits of insurance afforded to the addi- <br />tional insured shall be the limits which you <br />agreed in that "contract or agreement requir- <br />ing insurance" to provide for that additional <br />insured, or the limits shown In the Declara- <br />tions for this Coverage Part, whichever are <br />less, This endorsement does not increase the <br />limits of insurance stated in the LIMITS OF <br />INSURANCE (Section 111) for this Coverage <br />Part, <br />B. The following is added to Paragraph a. of 4, <br />Other Insurance in COMMERCIAL GENERAL <br />LIABILITY CONDITIONS (Section IV): <br />However, if you specifically agree in a "contract or <br />agreement requiring insurance" that, for the addi- <br />tional insured shown in the Schedule, the insur- <br />ance provided to that additional insured under this <br />APPROVED AS TO FORM <br />CG D8 82 09 07 02007 The Travelers Companies, Inc. y -Fage 1 of 2 <br />Includes the copyrighted material of insurance Services Office, Inc., with its permission € LISA E STORCK <br />Assistant City Attorney <br />
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