Laserfiche WebLink
4 ki 111110] 1"Im 461 `0k <br />This endorsement forms a part of the policy to wh¢clh it is attached. Please read it carefUlly. <br />ADDITIONAL INSURED- DESIGNATED PERSON OR ORGANIZATION <br />Policy Number <br />Endorsement Effective Date <br />Endorsement Number <br />PEM 0000006-05 <br />July 1, 2017 <br />14 <br />This endorsement modifies insurance provided under the following: <br />GENERAL LIABILITY COVERAGE PART <br />PUBLIC ENTITY RETAINED LIMITS POLICY <br />SCHEDULE <br />Name of additional insured person(s) or organization(s): <br />The City of Santa Ana, its officers, employees, agents, and representative are named with respect to services <br />provided as Consultant for the institutes of Museum and Library Services Leadership Grant. <br />$1�,000,000 Occurrence Limit <br />$1,000,000 Aggregate <br />With respect to the General Liability Coverage Part only, it is agreed that Definition 20. Insured, <br />contained in the Common Conditions, Definitions and Exclusions is amended to include as an additional <br />insured the person(s) or organization(s) shown in the Schedule but only with respect to liability for bodily <br />injury, property damage, personal injury, or advertising injury caused in whole or in part, by acts or <br />omissions of the named insured or the acts or omissions of those acting on behalf of the named <br />insured: <br />A. In the performance of the ongoing operations of the named insured; or <br />B. In connection with the named insured's premises owned by or rented to the named insured. <br />If, prior to an occurrence, you have specifically agreed in a written contract to provide primary insurance for <br />any person(s) or organizations (s) shown in the Schedule, this insurance will apply on a primary basis with <br />respect to such occurrence and will not contribute with any other valid and collectible insurance in force for <br />such additional insured. <br />All other terms and conditions of this policy remain uncha <br />PL60Yized Representative <br />I of I ------ . ..... <br />a Berkley Company <br />Includes copyrighted material of Insurance Services Office Inc. with its permission. <br />PEN 1008 01/15 <br />