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POLICY NUMBER: 6803C998389 <br />COMMERICAL GENERAL LIABILITY <br />ISSUE DATE: 04/01/2016 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <br />ADDITIONAL INSURED <br />(ARCHITECTS, ENGINEERS AND SURVEYORS) <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />NAME OF PERSON(S) OR ORGANIZATION(S): city of Santa Ana <br />Clerk of the City Council <br />P.O. Box 1988 <br />Santa Ana, CA 92702-1988 <br />PROJECT/LOCATION OF COVERED OPERATIONS: <br />NAME OF PERSON OR ORGANIZATION CONTINUATION:The City of Santa Ana, its officers, employees, agents, and representatives <br />PROVISIONS <br />A The following is added to WHO IS AN INSURED <br />(Section II): <br />The person or organization shown in the Sched- <br />ule above is an additional insured on this Cover- <br />age Part, but only with respect to liability for bod- <br />ily injury', `property damage" or 'personal injury <br />caused, in whole or in part, by your acts or omis - <br />sions or the acts or omissions of those acting on <br />Your behalf: <br />a. In the performance of your ongoing oper- <br />ations; <br />b. In connection with premises owned by or <br />rented to you; or <br />C. In connection with your work and included <br />within the "products -completed operations <br />hazard," <br />Such person or organization does not qualify as <br />an additional insured for "bodily injury", "property <br />damage" of "personal injury' for which that person <br />or organization has assumed liability in a contract <br />or agreement. <br />CG D3 82 09 07 <br />© 2007 The Travelers Com <br />Includes the copyrighted material of Insurance Servic <br />The insurance provided to such additional <br />Insured is limited as follows: <br />d. This insurance does not apply to the render- <br />ing of or failure to render any "professional <br />services". <br />The limits of insurance afforded to the addi- <br />tional insured shall be the limits which you <br />agreed in that 'contract or agreement requir- <br />ing insurance" to provide for that additional <br />Insured, or the limits shown in the <br />Declarations for this Coverage Part, <br />whichever are less. This endorsement does <br />not increase the limits of insurance stated in <br />the LIMITS OF INSURANCE (Section III) for <br />this Coverage Part. <br />The following is added to Paragraph a. of 4. <br />Other Insurance in COMMERCIAL GENERAL <br />LIABILITY CONDITIONS (Section IV): <br />However, if you specifically agree in a contract or <br />agreement requiring insurance that, for the addi- <br />tlonal insured shown in the Schedule, the insur- <br />ance provided to that additional insured under <br />this <br />its permission <br />Page l <br />REVIEWED BY: Vbre (/y, / (_ ^ EUNICEHEREDIAfPG9OFC1 <br />