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POLICY NUMBER: 680OJ543236 COMMERCIAL GENERAL LIABILITY ISSUE DATE: 4/14/2017 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AID •`'k 0 1 - - . 0- This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSONS OR ORGANIZATIONS: City of Santa Ana 120 Civic Center Plaza - M36 Santa Ana CA 92701 PROJECT/LOCATION OF COVERED OPERATIONS: The City of Santa Ana, its officers, employees, agents, volunteers and representatives -- Re: All operations of named insured -- Ia Z1110RiEel ki 1. The following is added to SECTION II - WHO IS AN INSURED: The person or organization shown in the Sched- ule above is an additional insured on this Cover- age Part, but: a. Only with respect to liability for "bodily injury", "property damage" or "personal injury"; and b. If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the "written contract requiring insurance" applies, or in connection with premises owned by or rented to you. The person or organization does not qualify as an additional insured: The insurance provided to such additional insured is limited as follows: e. This insurance does not apply to the render- ing of or failure to render any "professional services". f. In the event that the Limits of Insurance of the Coverage Part shown in the Declarations ex- ceed the limits of liability required by the "writ- ten contract requiring insurance", the insur- ance provided to the additional insured shall be limited to the limits of liability required by that "written contract requiring insurance". This endorsement does not increase the lim- its of insurance described in Section III - Lim- its Of Insurance. g. This insurance does not apply to "bodily inju- c. With respect to the independent acts or orris- ry" or "property damage" caused by "your sions of such person or organizatioor work" and included in the "products- d. For "bodily injury", "property damage" or "per- completed operations hazard" unless the sonal injury" for which such person or organi- "written contract requiring insurance" specifi- zation has assumed liability in a contract or cally requires you to provide such coverage agreement. for that additional insured, and then the insur- ance provided to that additional insured ap- CG D3 82 09 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 2 Includes the copyrighted material of Insurance Services Office, Inc., with its mission 1R VGC,VV i s B' EUNIC I°4t-t EMA (P O _ _ _ .. __ _ __ ._.._.._ _. _ V_