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Albert Grover & Associates, Inc. <br />POLICY NUMBER: 68025981-177 <br />COMMERICAL GENERAL LIABILITY <br />ISSUE DATE: - - 11/2/2010 <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 />PROJECT /LOCATION OF COVERED OPERATIONS: <br />2010 Citywide Engineering and Traffic Survey <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 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 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 III) 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 />CG D3 82 09 07 0 2007 The Travelers Companies, Inc. <br />Includes the copyrighted material of Insurance Services Office, Inc., with its permission <br />CERT NO.: 8705605 Pauline Hingham 11/2/2010 9:56:15 AM Page 2 of 4 <br />Page 1 of 2 <br />