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POLICY NUMBER: 680-3x126214-15-42 <br />COMMERCIAL GENERAL LIABILITY <br />ISSUE DATE: 11/10/16 <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 />SCHEDULE <br />NAME OF PERSON(S) OR ORGANIZATION(S): <br />The City o£ Santa Ana, it's officers, employees, agents. and <br />representative <br />PROJECT/LOCATION OF COVERED OPERATIONS: U�vaS <br />Consulting Services �\ ����)it• <br />1. WHO IS AN INSURED - (Section II) is amended <br />b) The insurance provided to the additional in- <br />to include the person or organization shown in the <br />sured does not apply to "bodily injury", "prop - <br />Schedule above, but: <br />erty-damage" or "personal injury" arising out <br />a) Only with respect to liability for "bodily injury", <br />of the rendering of, or failure to render, any <br />"property damage" or "personal injury"; and <br />professional architectural, engineering or sur- <br />veying services, including: <br />b) If, and only to the extent that, the injury or <br />i. The preparing, approving, or failing to <br />damage is caused by acts or omissions of <br />you or your subcontractor in the performance <br />prepare or approve, maps, shop draw - <br />of "your work" on or for the project, or at the <br />ings, opinions, reports, surveys, field or - <br />location, shown in the Schedule. The person <br />ders or change orders, or the preparing, <br />or organization'does not qualify as an addi- <br />approving, or failing to prepare or ap- <br />tional insured with respect to the independent <br />prove, drawings and specifications; and <br />acts or omissions of such"person or organiza- <br />!I. Supervisory, inspection, architectural or <br />tion. <br />engineering activities. <br />2. The insurance provided to the additional insured <br />c) The insurance provided to the additional in - <br />by this endorsement is limited as follows: <br />sured does not apply to "bodily injury" or <br />a) In the event that the Limits of Insurance of <br />"property damage" caused by "your work" <br />this Coverage Part shown in the Declarations <br />and included in the "products -completed op - <br />exceed the limits of liability required by a <br />erations hazard" unless a "written contract <br />"written contract requiring insurance" for that <br />requiring insurance" specifically requires you <br />additional insured, the insurance provided to <br />to provide such coverage for that additional <br />the additional insured shall be limited to the <br />insured, and then the insurance provided to <br />limits of liability required by that"written con- <br />the additional insured applies only to such <br />'bodily <br />tract requiring insurance". This endorsement <br />injury" or "property damage" that oc- <br />shall not increase the limits of insurance de- <br />curs before the end of the period of time for <br />scribed in Section III - Limits Of Insurance. <br />which the "written contract requiring insur- <br />ance" requires you to provide such coverage <br />CG D2 47 08 05 © 2005TheSt. Paul Travelers Companies, Inc. <br />32792039 1 DOMPR-1 113-16 ML, Iwto, 16-17 EEO I Ma"xeen PFilen 1 11/10/2016 10:02,32 AM (PDT) I Page 3 of 4 <br />Page 1 of 2 <br />