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ALBERT GROVER& ASSOCIATES RFCA 10/21/15 PROD 16 6861 REVIEWED BY: /(EUNICEHEREDIA (PG 2OF3) <br />Policy Number: PSB000'1618 RLI Insurance Company <br />Named Insured: Albert Grover & Associates, Inc. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <br />RLIPack® FOR PROFESSIONALS <br />SCHEDULED ADDITIONAL INSURED ENDORSEMENT <br />This endorsement modifies insurance provided under the following: <br />BUSINESSOWNERS COVERAGE FORM - SECTION 11 - LIABILITY <br />Schedule <br />Name of Person(s) or Organization(s): <br />City of Santa Ana <br />its officers, employees, and representatives <br />1. SECTION It C. Who Is An Insured is amended to <br />include as an additional insured the person or <br />organization shown in the schedule above, but only <br />with respect to liability for "bodily injury", "property <br />damage" or "personal and advertising injury" <br />caused in whole or in part by you or those acting on <br />your behalf. <br />a. In the performance of your ongoing operations; <br />b. In connection with premises owned by or rented <br />to you; or <br />c. In connection with 'your work" and included <br />within the "product-completed operations <br />hazard". <br />2. The insurance provided to the additional insured by <br />this endorsement is limited as follows* <br />a. This insurance does not apply to the rendering <br />of or failure to render any "professional <br />services". <br />b. This endorsement does not increase any of the <br />limits of insurance stated in D. Liability And <br />Medical Expenses Limits of Insurance. <br />3, The following is added to SECTION If H.2, Other <br />Insurance - COMMON POLICY CONDITIONS <br />(BUT APPLICABLE ONLY TO SECTION 11 - <br />LIABILITY) <br />However, if you specifically agree in a contract or <br />agreement that the insurance provided to an <br />additional insured under this policy must apply on a <br />1313 02 12 <br />primary basis, or a primary and non-contributory <br />basis, this insurance is primary to other insurance <br />that is available to such additional insured which <br />covers such additional insured as a named insured, <br />and we will not share with that other insurance, <br />provided that: <br />a. The "bodily injury" or "property damage" for <br />which coverage is $Ought occurs after you have <br />entered into that contract or agreement; or <br />b. The "personal and advertising injury" for which <br />coverage is sought arises out of an offense <br />committed after you have entered into that <br />contract or agreement. <br />4. The following is added to SECTION fit K.2 Transfer <br />of Rights of Recovery Against Others to Us - <br />COMMON POLICY CONDITIONS (BUT <br />APPLICABLE TO SECTION I - PROPERTY AND <br />SECTION It - LIABILITY) <br />We waive any rights of recovery we may have <br />against any person or organization because of <br />payments we make for "bodily injury", "property <br />damage" or "personal and advertising injury" arising <br />out of "your work" performed by you, or on your <br />behalf, Linder a contract or agreement with that <br />person or organization. We waive these rights only <br />where you have agreed to do so as pail of a <br />contract or agreement with such person or <br />organization entered into by you before the "bodily <br />injury" or "property damage" occurs, or the "personal <br />and advertising injury" offense is committed. <br />ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. <br />1 7 1 11 , �L <br />P ac 1 ,h­ I 1,/312n11 1 ,.:2:12 c0 .91, I =395 2 <br />Page 1 of I <br />