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KALISKI, JOHN AIA DBA URBAN STUDIO 3 - 2009
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KALISKI, JOHN AIA DBA URBAN STUDIO 3 - 2009
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Last modified
4/29/2016 1:08:27 PM
Creation date
8/3/2009 8:46:34 AM
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Contracts
Company Name
KALISKI, JOHN AIA DBA URBAN STUDIO
Contract #
N-2009-093
Agency
PLANNING & BUILDING
Insurance Exp Date
12/13/2011
Destruction Year
2016
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POLICY NUMBER: 6806708L374 <br />COMMERICAL GENERAL LIABILITY <br />ISSUE DATE: 7/6/2009 <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 />P.O. Box 1988 <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br />PROJECT/LOCATION OF COVERED OPERATIONS: <br />The City of Santa Ana, its officers, employees, agents, volunteers and <br />representatives <br />PROVISIONS <br />A The following is added to WHO IS AN INSURED <br />(Section ll): <br />The person or organization shown in the Sched- <br />ule above is an additional insured 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 oper- <br />ations; <br />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 person <br />or organization has assumed liability in a contract <br />or agreement. <br />The insurance provided to such additional <br />insured 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 />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 <br />Declarations for this Coverage Part, <br />whichever are less. This endorsement does <br />not increase the limits of insurance stated in <br />the LIMITS OF INSURANCE (Section III) for <br />this Coverage Part. <br />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 h the Schedule, the insur- <br />ance provided to that additional insured under <br />this <br />APPROVED AS TO FORM <br />AMI KAU MAN <br />1;►1f�f 5 �#to ;;ity Aftnlnr?y <br />CG D3 82 09 07 <br />© 2007 The Travelers Companies, Inc. <br />Includes the copyrighted material of Insurance Services Office Inc., with its permission <br />Page I <br />
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