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COMMERCIAL GENERAL LIABILITY POLICY NUMBER: Z-680-6A854269-TSL-LZ ISSUE DATE: 03-22-12 THIS ENDORSEIY7ENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. (C®N7RAC7'OR?} This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART NAME OF PERSON(S) OR ORGANIZATION(S): THE CITY OF SANTA ANA, ITS OFF2CBRS,?EtdPLOYSES, AG8NT5, AND R&PRESENTATIVE SCHEDULE PROJECT/LOCATION OF COVERED OPERATIONS: 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 '1. WHO IS AN INSURED - (Section II) is amended to include the person or organization shown in the .Schedule above, but: a) Only with respect to Ilablllty for "bodily fnJury", "property damage" or "personal Infur?/'; and b) If, and only to the extent [hat, the injury or damage Is caused by acts or omissions of you or your subcontractor in the performance of "your work" on or for fife project, or at the location, shown in the Schedule. The person or organization does not qualify as an addl- ttonal insured with respect to the Independent acts or ornlsslons of such person or organiza- tion. 2. The insurance provided to the additional Insured by this endorsement Is limitod as follows: a) 1n the event that the Llmlts of Insurance of this Coverage Part shown In fhe Declarations exceed the limits of liability required by a "written contract requiring insurance" for that additional Insured, the insurance provided to the additional insured shall be limited fo the limits of Ilablllty required by that "written con- tract requlring Insurance". This endorsement shall not increase the limns of Insurance de- scribed in Section 111 -Limits Of Insurance. b) The Insurance provided to the additional In- sured does not apply to "bodily inJury", "prop- erty damage" or "personal Injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or sur- veying services, Including: i. The preparing, approving, or falling to prepare or approve, maps, shop draw- ings, opinions, reports, surveys, field or- ders or change orders, or the preparing, approving, or falling to prepare or ap- prove, drawings and speciflcatlons; and ii. Supervisory, inspection, architectural or engineering activities. c) Tha insurance provided to the additional in- sured does not apply to "bodily injury" or "property damage" caused by "your work" and Included In the "products-completed op- erations hazard" unless a "written contract requlring insurance" specifically requires you to provide such coverage for that additional Insured, and then the Insurance provided to the additional insured applies only to such "bodily injury" or "properly damage" that oc- curs before the end of the period of time for which the "written contract requlring Insur- ance" requires you to provide such coverage CG D2 47 08 05 ©2005 The St. Paul Travelers Companies Exhibit C 1ncJ?PPT4r..? ED .AXE',. TO •.k t ?13N.[ age 1 of 2 `--?-- STORCK "?-"` LISA E• Assistant City Attorney ?., ,4