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POLICY NUMBER: 68020941-000 COMMERICAL GENERAL LIABILITY ISSUE DATE: 0611712014 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL (ARCHITECTSo ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S) OR ORGANIZATION($): City of Santa Ana Executive Director of the Public Works Agency 20 Civic Center Plaza (M-36) P O Box 1088 - PROJECTILOCATION OF COVERED OPERATIONS: Additional insureds: City of Santa Ane, Its officers, employees, agents, volunteers, and representatives PROVISIONS following is added to WHO IS AN INSURED provided to such additional insured A. The is limitedas follows: (Section II). The person or organization shown In the Schad- r nder- d. i This I o ran a es not applender yto the g osional ule above is an additional Insured on this Cover- age part, but oniy with respect to liabiiity for "bod- services"• ily injury", "property damage" or "personal injury" e, The limits of insurance afforded to the add! - insured shall be the limits which you caused, in whole or In part, by your acts or Dmis- the acts or omissions of those acting on tionai agreed in that "contract or agreement requir- sions or your behalf: ing insurance" to provide for that additional Insured, or the limits shown In the Declare- s, In the performance of your ongoing opera- tions for this Coverage Part, whichever are tions; less, This endorsement does not increase the b. in connection with premises awned by or limits of insurance stated in the LIMITS OF rented to you; or INSURANCE (Section Iii) for this Coverage C, In connection with "your work" and included part, within the "products -completed operations B The following is added to Paragraph a. of 4, hazard". Other Insurance in COMMERCIAL GENERAL Such person or organization does not qualify as LIABILITY CONDITIONS (Section IV): an additional insured for "bodily injury", "property However, if you specifically agree in a "contract or damage" or "personal injury for which that per- agreement requiring Insurance" that, for the addi- son or organization has assumed liability in a con- tional insured shown in the Schedule, the Insllr- tract or agreement, anco provided to that additional insured under this hi D 0 10 CG D3 82 09 07 ®2001 The Travelers Includes the copyrighted material of Insurance 1 ofd Companies, Inc. services Office, Inc„ with its Permission IR Y, LI5P E nt ity Atternev Assista��' r