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POLICY NUMBER:I-660-6A654269-TCT-12 COMMERCIAL GENERAL LIABILITY ISSUE DATE: 10-09-12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (CONTRACTORS) 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 OFFICERS, EMPLOYEES, AGENTS, AND REPRESENTATIVES SCHEDULE PROJECT/LOCATION OF COVERED OPERATIONS: 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 1. WHO IS AN INSURED - (Section II) is amended b) The insurance provided to the additional in- to include the person or organization shown in the sured does not apply to "bodily injury", "prop- Schedule above, but: erty damage" or "personal injury" arising out a) Only with respect to liability for "bodily injury", of the rendering of, or failure to render, any "property damage" or "personal injury"; and professional architectural, engineering or sur- veying services, including: b) If, and only to the extent that, the injury or damage is caused by acts or omissions of i, The preparing, approving, or failing to you or your subcontractor in the performance " " prepare or approve, maps, shop draw- reports, surveys, field or- opinions ings your work on or for the project, or at the of , , or the preparing ders or change orders location, shown in the Schedule. The person or organization does not qualify as an addi- , , approving, or failing to prepare or ap- tional insured with respect to the independent prove, drawings and specifications; and acts or omissions of such person or organiza- ii. Supervisory, inspection, architectural or tion. engineering activities. 2. The insurance provided to the additional insured c) The insurance provided to the additional in- by this endorsement is limited as follows: sured does not apply to "bodily injury" or a) In the event that the Limits of Insurance of "property damage" caused by "your work" " this Coverage Part shown in the Declarations products-completed op- and included in the " " exceed the limits of liability required by a written contract erations hazard unless a " "written contract requiring insurance" for that specifically requires you requiring insurance additional insured, the insurance provided to to provide such coverage for that additional the additional insured shall be limited to the insured, and then the insurance provided to limits of liability required by that "written con- the additional insured applies only to such " " " tract requiring insurance". This endorsement property damage that oc- "bodily injury or shall not increase the limits of insurance de- curs before the end of the period of time for scribed in Section III - Limits Of Insurance. which the "written contract requiring insur- ance" requires you to provide such coverage CG D2 47 08 05 © 2005 The St. Paul Travelers Companies, I c. Exhibit C TO Fp?NI Page 1 of 2 __.-- K -c 'N ne'] 3