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POLICY NUMBER: I-680-6AB54269-TCT-12 <br />COMMERCIAL GENERAL LIABILITY <br />ISSUE DATE: 10-09-12 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED <br />(CONTRACTORS) <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />NAME OF PERSON(S) OR ORGANIZATION (S): <br />THE CITY OF SANTA ANA, <br />ITS OFFICERS, EMPLOYEES, <br />AGENTS, AND REPRESENTATIVES <br />SCHEDULE <br />PROJECT/LOCATION OF COVERED OPERATIONS: <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />1. WHO IS AN INSURED - (Section II) is amended <br />to include the person or organization shown in the <br />Schedule above, but: <br />a) Only with respect to liability for "bodily injury", <br />"property damage" or "personal injury"; and <br />b) If, and only to the extent that, the injury or <br />damage is caused by acts or omissions of <br />you or your subcontractor in the performance <br />of "your work" on or for the project, or at the <br />location, shown in the Schedule. The person <br />or organization does not qualify as an addi- <br />tional insured with respect to the independent <br />acts or omissions of such person or organiza- <br />tion. <br />2. The insurance provided to the additional insured <br />by this endorsement is limited as follows: <br />a) In the event that the Limits of Insurance of <br />this Coverage Part shown in the Declarations <br />exceed the limits of liability required by a <br />"written contract requiring insurance" for that <br />additional insured, the insurance provided to <br />the additional insured shall be limited to the <br />limits of liability required by that "written con- <br />tract requiring insurance". This endorsement <br />shall not increase the limits of insurance de- <br />scribed in Section III - Limits Of Insurance. <br />CG D2 47 08 05 <br />b) The insurance provided to the additional in- <br />sured does not apply to "bodily injury", "prop- <br />erty damage" or "personal injury" arising out <br />of the rendering of, or failure to render, any <br />professional architectural, engineering or sur- <br />veying services, including: <br />I. The preparing, approving, or failing to <br />prepare or approve, maps, shop draw- <br />ings, opinions, reports, surveys, field or- <br />ders or change orders, or the preparing, <br />approving, or failing to prepare or ap- <br />prove, drawings and specifications; and <br />ii. Supervisory, inspection, architectural or <br />engineering activities. <br />c) The insurance provided to the additional in- <br />sured does not apply to "bodily injury" or <br />"property damage" caused by "your work" <br />and included in the "products-completed op- <br />erations hazard" unless a "written contract <br />requiring insurance" specifically requires you <br />to provide such coverage for that additional <br />insured, and then the insurance provided to <br />the additional insured applies only to such <br />"bodily injury" or "property damage" that oc- <br />curs before the end of the period of time for <br />which the "written contract requiring insur- <br />ance" requires you to provide such coverage <br />?pPR, <br />© 2005 The St. Paul Travelers Companies, Irtc: ?" J' <br />Exhibit C ;i <br />-VOYLI <br />,V0 ?1 <br />Page 1 of 2 <br />?,,tnrnev <br />