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GENSLER (4)
INSURANCE ON FILE ,OF;K.MAY PROCEEU uNiIL INSURANCE EXPIRES 3• I -a-a- CLERK OF COUNCIL DATE: j?tiA(;;0 FIRST AMENDM] A-2021-177-03 THIS FIRST AMENDMENT to the above -referenced agreement is entered into on September N 7, 2021 by and between Gensler ("Consultant") and the City of Santa Ana, a charter city �O and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). RECITALS A. The parties entered into Agreement No. A-2020-230-03, dated November 17, 2020, by which Consultant agreed to provide on call space planning and architectural consulting services for the City's Public Works Agency ("Agreement"). B. There were ten separate Consultants awarded agreements for on call space planning and architectural consulting services and compensation for any services used pursuant to these agreements comes from a shared pool of funds authorized to pay for such services. C. The parties now wish to extend the Agreement to add additional funds to the pool of funds available for the on call services. The Parties therefore agree: 1. Section 2, Compensation, subsection a, is amended to increase the compensation from three hundred thousand dollars and zero cents ($300,000) to one million, three hundred thousand dollars and zero cents ($1,300,000) for the remaining term of the Agreement including any optional extensions. 2. Except as modified by this First Amendment, all terms and conditions of the Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the Agreement on the date and year first written above. ATTEST CITY OF SANTA ANA Gomez of the Council [Signatures continue on the next page] fit_ N)�,_ �� Kristine Ridge City Manager Page 1 of 2 APPROVED AS TO FORM: Sonia R. Carvalho City Attorney By:clau. A. R Laura A. Rossini Chief Assistant City Attorney RECOMMENDED FOR APPROVAL LL'j azCS Nabil Saba Executive Director Public Works Agency CONSULTANT Name: Anne Bretana Title: principal, Co -Managing Director Page 2 of 2 Francine R. Deably mend byFrznnfnea illafeal v Inc. cci wa. mn.ss.n n33e3 nrw ACOR& CERTIFICATE OF LIABILITY INSURANCE lla.� 3/1/2022 DATE(MM/DDNYYY) 8/26/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816)960-9000 CONTACT ONTCT PHONE Ext: FAX No: E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIL0 INSURER A: Zurich American Insurance Company 16535 INSURED GENSLER 1047450 500 SOUTH FIGUEROA STREET INSURER B: Travelers Property Casualty CO of America 25674 INSURER C: Lloyds of London INSURER D: American Guarantee and Liab. Ins. Co. 26247 LOS ANGELES CA 90071 NEWPORT BEACH INSURER E: Allied World Surplus Lines Insurance Company 24319 INSURER F: Aspen Specialty Insurance Com an 10717 COVERAGES GENSCOI CERTIFICATE NUMBER: 15595159 REVISION NUMBER: j{}{xxxxx THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR D POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMILDI& YY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y N GL00081063 3/1/2021 3/I/2022 EACH OCCURRENCE $ ] 000000 NTED PREM SES EaGE IQ Ecccu once $ 1,000,000 MED EXP Any one person) $ 10,000 PERSONAL S ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2000000 $ OTHER: D AUTOMOBILE LIABILITY N N BAP3707221 3/1/2021 3/1/2022 EO BINEDISINGLELIMIT $ 1000000 X BODILY I NJURY (Per person) $ }{7{]{7()= ANY AUTO X OWNED SCHEDULED AUTOS ONLYMAUTOS BODILY INJURY (Per accident) ( ) $ �' {J{ X HIRED NONWNED AUTOS ONLYAUTOS ONLY PROPERTY DAMAGE Per accident $ X) xxxxx S }i}{xC{xxx B UMBRELLA LIAB X OCCUR N N ZUP51M96337 3/1/2021 3/1/2022 EACH OCCURRENCE $ ] 00000Q AGGREGATE $ 1,000,000 X EXCESSLMB CLAIMS -MADE DIED I I RETENTION$ $ i{i{max {xxx A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA N W00081062 3/1/2021 3/1/2022 R X STPEATUTE EROTN- E.L. EACH ACCIDENT $ 1000 000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMITI$ 1000000 C PROFESSIONAL N N LDUSA2100176 4/1/2021 4/1/2022 $2,000,000 PER CLAIM/ $2,000,000 E LIABILITY 0312-2693 4/1/2021 4/1/2022 AGGREGATE F LROOFYE21 4/1/2021 4/1/2022 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be aaached if more space is required) THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FORTIES HOLDER, APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S) REFERENCED. RE: GENSLER PROJECT NO: AGREEMENT A-2020-230-03 - MISC. SPACEPLANNING AND ARCHITECTURAL CONSULTING SERVICES. CITY OF SANTA ANA ITS OFFICERS, EMPLOYEES, AGENTS. VOLUNTEERS, AND REPRESENTATIVES ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITl AND THIS COVERAGE IS PRIMARY AND NON-CONTRIBUTORY, AS REQUIRED BY WRITTEN CONTRACT. 15595159 CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE RISK MANAGEMENT DIVISION THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 CIVIC CENTER PLAZA ACCORDANCE WITH THE POLICY PROVISIONS. SANTA ANA CA 92701 AUTHORIZED REPRESENTA y� RWe MarMganmt DNietDK "/ q:��n;9v�� �' REVIEWEC&APPRWB76Y: 19884015 ACORD C ?twa,tl-rir-�'i j5 W&4"l ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ®' Risk Management Analyst Attachment Code: D507046 Certificate ID: 15595159 POLICY NUMBER: GL00081063 COMMERCIAL GENERAL LIABILITY NAMED INSURED: SEE ATTACHED CERTIFICATE CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR 191*1_11ZI0-NKenk This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: ANY PERSON OR ORGANIZATION WHOM YOU ARE REQUIRED TO ADD AS AN ADDITIONAL INSURED UNDER TIES POLICY UNDER A WRITTEN CONTRACT OR WRITTEN AGREEMENT. Location(s) Of Covered Operations ANY LOCATION OR PROJECT (Information required to complete this Schedule, if not shown above, will be shown in the Declarations.) A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: ts.tt t�P.ge,„ent oMaw� Rwn 6 APPRO ft Risk Managenrent Malyst Attachment Code: D507046 Certificate ID: 15595159 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 10 04 13 Risk Mit agmentD(eiibn e^YY oI.*ce REVIEWED&APPROVED BY. ® Ruk Management Analyst Attachment Code: D507067 Certificate ID: 15595159 POLICY NUMBER: GL00081063 NAMED INSURED: SEE ATTACHED CERTIFICATE COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: ANY PERSON OR ORGANIZATION WHOM YOU ARE REQUIRED TO ADD AS AN ADDITIONAL INSURED UNDER THIS POLICY UNDER A WRITTEN CONTRACT OR WRITTEN AGREEMENT, Location And Description of Completed Operations: ANY LOCATION OR PROJECT (Information required to complete this Schedule, if not shown above, will be shown in the Declarations.) Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted bylaw; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 04 13 R1seMvugementDW1an . REVIEWED& APPROVED BY: p �� R6k Management Analyst Attachment Code: D507065 Certificate ID: 15595159 POLICY NO: GL00081063 NAMED INSURED: SEE ATTACHED CERTIFICATE Other Insurance Amendment --- Primary And Non - Contributory THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part 1. The following paragraph is added to the Other Insurance Condition of Section IV --- - Commercial General Liability Conditions: This insurance is primary insurance to and will not seek contribution from any other insurance available to an additional insured under this policy provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by a written contract or written agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV - Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis. All other terms and conditions of this policy remain unchanged. lI-GL-1327-13 CW (04/ 13) Page 1 of 1 ltuk Management.Dideimi REmEWED S APPR M sy: R. VS" AI Risk Management Malys t Attachment Code: D464157 Certificate ID: 15595159 Blanket Notification To Others Of Cancellation THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. BAP3707221 Effective Date: 3/1/2021 This endorsement modifies insurance provided under the: Auto Dealers Coverage Form Business Auto Coverage Form Motor Carrier Coverage Form A. If we cancel this Coverage Part by written notice to the first Named Insured for any reason other than nonpayment of premium, we will deliver electronic notification that such Coverage Part has been cancelled to each person or organization shown in a Schedule provided to us by the First Named Insured. Such Schedule: 1. Must be initially provided to us within 15 days: a. After the beginning of the policy period shown in the Declarations; or b. After this endorsement has been added to policy; 2. Must contain the names and e-mail addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled; 3. Must be in an electronic format that is acceptable to us; and 4. Must be accurate. Such Schedule may be updated and provided to us by the First Named Insured during the policy period. Such updated Schedule must comply with Paragraphs 2., 3. and 4. above. B. Our delivery of the electronic notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. Delivery of the notification as described in Paragraph A. of this endorsement will be completed as soon as practicable after the effective date of cancellation to the first Named Insured. C. Proof of e-mailing the electronic notification will be sufficient proof that we have complied with Paragraphs A. and B. of this endorsement. D. Our delivery of electronic notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such delivery of electronic notification will not: 1. Extend the Coverage Part cancellation date; 2. Negate the cancellation; or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. E. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the Schedule provided to us as described in Paragraphs A. and B. of this endorsement. All other terms, conditions, provisions and exclusions of this policy remain the same. RlakMowgemwtt])Msimt Re Ewm & APPRovm Br. Risk Management Malys[ s' Miscellaneous Attachment: M463462 Certificate ID: 15595159 POLICY NUMBER: WC0081062 NAMED INSURED: SEE ATTACHED CERTIFICATE WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY U-W C-332-A NOTIFICATION TO OTHERS OF CANCELLATION ENDORSEMENT This endorsement is used to add the following to Part Six of the policy. PART SIX - CONDITIONS F. Notification To Others Of Cancellation 1. If we cancel this policy by written notice to you for any reason other than nonpayment of premium, we will deliver electronic notification to each person or organization shown in a Schedule provided to us by you. Such Schedule: a. Must be initially provided to us within 15 days: After the beginning of the policy period shown in the Declarations; or After this endorsement has been added to policy; b. Must contain the names and e-mail addresses of only the persons or organizations requiring notification that this policy has been cancelled; c. Must be in an electronic format that is acceptable to us; and d. Must be accurate. Such Schedule may be updated and provided to us by you during the policy period. Such updated Schedule must comply with Paragraphs b. c. and d. above. 2. Our delivery of the electronic notification as described in Paragraph 1. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to you. Delivery of the notification as described in Paragraph 1. of this endorsement will be completed as soon as practicable after the effective date of cancellation to you. 3. Proof of emailing the electronic notification will be sufficient proof that we have complied with Paragraphs 1. and 2. of this endorsement. 4. Our delivery of electronic notification described in Paragraphs 1. and 2. of this endorsement is intended as a courtesy only. Our failure to provide such delivery of electronic notification will not: a. Extend the policy cancellation date; b. Negate the cancellation; or c. Provide any additional insurance that would not have been provided in the absence of this endorsement. 5. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the Schedule provided to us as described in Paragraphs 1. and 2. of this endorsement. All other terms and conditions of this policy remain unchanged. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) RlaleMnnagemortDivision "\s REVIEWED 6 APPROVED Or R6k Management Analyst Attachment Code: D536704 Certificate ID: 15595159 POLICY NO.: GL00081063 NAMED INSURED: SEE ATTACHED CERTIFICATE Blanket Notification to Others of Cancellation or Non -Renewal THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. If we cancel or non -renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non -renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contract or written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to the first Named Insured. Such List: 1. Must be provided to us prior to cancellation or non -renewal; 2. Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled or non -renewed; and 3. Must be in an electric format that is acceptable to us. B. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records as the date the notice of cancellation or non -renewal is mailed or delivered to the first Named Insured. We will mail or deliver such notification to each person or organization shown in the list: 1. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or 2. At least 30 days prior to the effective date of: a. Cancellation, if cancelled for any reason other than nonpayment of premium; or b. Non -renewal, but not including conditional notice of renewal. C. Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such mailing or delivery will not: 1. Extend the Coverage Part cancellation or non -renewal date; 2. Negate the cancellation or non -renewal; or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. D. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs A. and B. of this endorsement. All other terms and conditions of this policy remain unchanged. U-GL-1521-A CW (10/12) ee c RlekMnwganvdDi s[m `.I cRt Ewm &ppAPPRmm By. e'er r�L/ fY,rhL ^. VxL Risk Mlanagem nt Malyst Attachment Code: D540928 Certificate ID: 15595159 POLICY NUMBER: ZUP51 M96337 NAMED INSURED: SEE ATTACHED CERTIFICATE THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED ENTITY - NOTICE OF CANCELLATIONMON RENEWAL PROVIDED BY US This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE CANCELLATION: Number of Days Notice of Cancellation: 30 NONRENEWAL: Number of Days Notice of Nonrenewal: 30 PERSON OR ORGANIZATION: ANY PERSON OR ORGANIZATION TO WHOM YOU HAVE AGREED IN A WRITTEN CONTRACT THAT NOTICE OF CANELLATION OR NONRENEWAL OF THIS POLICY WILL BE GIVEN, BUT ONLY IF: 1. YOU SEND US A WRITTEN REQUEST TO PROVIDE SUCH NOTICE, INCLUDING THE NAME AND ADDRESS OF SUCH PERSON OR ORGANIZATION, AFTER THE FIRST NAMED INSURED RECEIVES NOTICE FROM US OF THE CANCELLATION OR NONRENEWAL OF THIS POLICY; AND A. If we cancel this policy for any statutorily permitted reason other than nonpayment of premium, and a number of days is shown for cancellation in the schedule above, we will mail notice of cancel- lation to the person or organization shown in the schedule above. We will mail such notice to the address shown in the schedule above at least the number of days shown for cancellation in the schedule above before the effective date of can- cellation. IL T4 00 12 09 torily permitted reason, and a number of days is shown for nonrenewal in the schedule above, we will mail notice of the nonrenewal to the person or organization shown in the schedule above. We will mail such notice to the address shown in the schedule above at least the number of days shown for nonrenewal in the schedule above before the expiration date. © 2009 The Travelers Indemnity Company B. If we decide to not renew this policy for any statu- Page 1 of 1 Risk Manapnent Division REVIEWED&APPROVEDBY: F44,.o 14 Z. VSA. Risk Management Analyst Miscellaneous Attachment M503076 Certificate ID: 15595159 POLICY NUMBER(S): LDUSA2100176; 0312.2693; LROOFYE21 NAMED INSURED: SEE ATTACHED CERTIFICATE Addendum No. 41 LIMITED AUTHORITY TO ISSUE CERTIFICATES OF INSURANCE ENDORSEMENT In consideration of the premium charged, it is hereby understood and agreed as follows: (1) Underwriters authorize Lockton Companies LLC the ("Certificate Issuer") to issue Certificates of Insurance at the request or direction of the INSURED. It is expressly understood and agreed that subject to Paragraph (2) below, any Certificate of Insurance so issued shall not confer any rights upon the Certificate holder, create any obligation on the part of the Underwriters, or purport to, or be construed to, alter, extend, modify, amend, or otherwise change the terms or conditions of this Policy in any manner whatsoever. In the case of any conflict between the description of the terms and conditions of this Policy as set forth herein on the other, the terms and conditions of this Policy as set forth herein shall control. (2) Notwithstanding Paragraph (1) above, such Certificate of Insurance as are authorized under this endorsement may provide that in the event of the Underwriters cancel or non -renew this Policy, Underwriters shall mail written notice of such cancellation, or non -renewal, to such Certificate Holder within a specified period of time; provided however, that the Underwriters shall have not be required to provide such notice more than 90 days prior to the effective date of cancelation or non -renewal. The INSURED shall provide written notice to the underwriters of all Certificate Holders and the number of days' written notice of cancellation or non -renewal, if any, specified in each Certificate of Insurance (1) at inception of this Policy, (ii) 90 days prior to expiration of this policy, and (iii) within 10 days of receipt of written request from Underwriters. Underwriters' obligation to mail notice of cancellation or, non -renewal as provided in this paragraph shall apply solely to those Certificate holders with respect to whom the Insured has provided the foregoing written notice to the Underwriters. (3) It is further understood and agreed that Underwriters' authorization of the Certificate Issuer under this endorsement is limited solely to the issuance of Certificates of Insurance and does not authorize, empower, or appoint the Certificate Issuer to act as an agent for the Underwriters or bind the Underwriters for any other purpose. The Certificate Issuer shall be solely responsible for any errors or omissions in connection with the issuance of any Certificate of Insurance pursuant to this endorsement. (4) As used in this endorsement Certificate of Insurance means a document issued for informational purposes only as evidence of the existence and terms of this Policy in order to satisfy a contractual obligation of the INSURED. All other terms, clauses and conditions remain unchanged. R1deMVw9mwd DKi91an Rene&o 6 APPRov®By. 41W", Fn+cHc:.r.t �. �:ucnul 2uk Management Malyst