HomeMy WebLinkAboutSANTA FE TRAILS ARCHERS 1b-.� C, U01
AGREEMENT TERMINATION ,I
Please complete this form when the attached agreement is no longer in effect. 7W
,a a €,
Return form to the Deputy Clerk of the Council (M -30). Call 647 -5238 if you have any questions.
The agreement with
No. D(a—] was completed on 0 13o I oo)
and final payment has been made.
tea yf
Revised 05 -22 -08
Department: ?4Q-2>Pr
Signature: !�>A V AM 10t � A,� LV
Date: (6 31 H
City of Santa Ana
Clerk of the Council
CUT-kRUMC
INSURANCE NOT ON FILE
WORK MAY NOT PROCEED N-2008-067-02
CLERK OF COUNCIL AMENDMENT TO AGREEMENT
DATE: S`~~-KU
O: PRCS
Silvia Cuevas THIS AMENDMENT TO AGREEMENT is entered into this 1st day of July,
2010, between Santa Fe Trails Archers, an unincorporated association (hereinafter
"Provider") and the City of Santa Ana, a charter city and municipal corporation organized
and existing under the Constitution and laws of the State of California (hereinafter
qty").
RECITALS:
A. The parties entered into Agreement N-2008-067, as amended from time to time dated,
(the "Agreement") by which Provider provides recreation and leisure class services.
B. The parties wish to amend said Agreement to renew the agreement for another one
year term and to revise the Scope of Services (Exhibit A).
WHEREFORE, in consideration of the covenants contained in said Agreement, and
subject to all the terms and conditions of said Agreement, except those amended in this
Second Amendment to Agreement, the parties agree as follows:
1. Section 1, entitled "Scope of Services", shall be amended by substitution of a new
Exhibit A, attached hereto.
2. Section 3, TERM, shall be deleted in its entirety and replaced with the following:
"This Agreement shall commence on July 1. 2010 and terminate on June 30, 2011,
unless terminated earlier in accordance with Section 12, below."
3. Except as herein amended, all terms and conditions of said Agreement shall remain in
full force and effect-
IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to
Agreement the date and year first above written.
ATTEST: CITY OF SANTA ANA
MARIA D. HUIZAR DAVID N. REAM
Clerk of the Council City Manager
APPROVED AS TO FORM:
ROVIDER
e i 5io! P
A R ENNE C. DYKMA
President
Tax ID No.
2
EXHIBIT A
SCOPE OF SERVICES
1) Provider will teach Archery at the Santiago Park Archery Range. Children, adults and
families are welcome to learn the basic shooting techniques for recreational archery.
2) The classes will be held monthly on Thursday, from 3:30 - 5:00 p.m. and during the
summer on Thursday 12:00 - 1:30 p.m., 2:00 - 3:30 p.m. For everyone 8 and up.
3) Provider will be responsible for equipment, records, personnel and clean up of the
facilities and materials necessary to ensure the safety and effectiveness of said
instruction.
4) If Provider allows others to teach his/her class, those teachers must be over 21, have
obtained and maintain an instructor rating, and be covered by Providers' insurance.
Provider shall provide City with documentation to verify instructor and insurance
requirements.
CLASS SIZE
1) Each class must have a minimum of 12 paid students and no more than a maximum of
15.
2) No registration will be accepted after the second meeting of class.
3) In the event the minimum number of enrollees is not realized by the second meeting of
the class, the class shall be canceled. Provider will be under no obligation to provide
services and the City will have no obligations to pay Provider compensation
CLASS FEES
1) Each participant shall pay a $75.00/$99.00 class registration fee 4 class meetings.
Anticipated revenue from this class is $10,000.00.
2) No refunds will be made to participants after the first week of class unless the class is
cancelled by the City.
3) The City shall collect registration fees from each participant during the registration
period. Provider shall not collect fees, but shall refer all interested participants to City for
registration.
4) Provider shall retain seventy per cent (70%) of the total fees collected each month.
City and Provider agree that City shall receive thirty per cent (30%) of the fees collected
as an administration fee. Provider shall retain eighty per cent (80%) of the total fees
collected each month if minimum is not meet, but class is continued. City and Provider
agree that City shall receive twenty per cent (20%) of the fees collected as an
administration fee.
3
5) Provider agrees that City is entitled to audit Provider's records and classes to insure
compliance with this Agreement.
6) Provider may not waive class participation/registration fees.
7) City shall prepare class rosters and provide a copy to Provider. Only registered
participants may participate in class.
4
Ax?ssoooloe/to> CERTIFICATE OF INSURANCE o92ado11
PRODIiGER
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INSUR€D t SUREIRi AFFOP6'WiMO COLERAQ
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SANTA FE TRAIL ARCHERS
/ 1339 MVLHALL 8TREET
El MONTE_ CA !1732 ???0? a - Q ?? -Q
ERT NUMBER: 1000953599
COVERAGES
THE b To GlM1IY Tw.r THE POLK]iS Os uET? EROw MwvE ? iiU® TO teeE ? MAMlDA?OV! row 71iE POLK.Y •lR10D Ie.olcAreo. eKlf wTMirAMOMO wnY
eerolawEa4dar, TEi1ea OR CONpsK1M Of Agar eoNrw?r.-r o? or?o? ooua.enr wsN weePCCr To wau. Tens eERrvr?.si raY ? Rel?so ow ?raY Psrrwr_T? uau...+ee.v?owoEO w
TIeE POt1C1ls OtldtlBlD NEI?N IE R/EIEGT TO ALL THE TE1eY><. E?aCLUElO14i AMD C.OIr71T10Ni CI Y?CM POl>CKS LYTE LiO1M4 WY HAVE M!M REOIlCEO EY ?Ap RMMS
INS
LTR POLICY
TYPE
POLICY NUMBER ICY
EFFECTIVE POLICY
T10fJ
101A1TS
GL AXGL03f00361-11 01//52011 01/15/2072 P 00
A 7000 ODO
12b1 s m 12:07 a m t .000
E:cY?Oed
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OF OPERA ON 2 CATIONSNEHICLE9/EXCLU>RONS AOOfA 6Y ENDORSEMENT/SPECIAL PROVISION
Tr swtlReaYIgMM Y?Y W an POdMlonal insured- Out ?Y wMM rid b Yr apuaion• d R.E MinW ? rr subl?4 b M PmuYlmns rW R?sidYVr M FOI1w CO 2016
AddWdrl bwad . Parson d Oryanlsalbn- but oeNy.vM+ rsspsc4 b PARKS AND RECREATION PROO/LW AT 81W TM00 PARK NiCF1ERY RAN[3E Ytan AyrY 22. 2011
Y?oullh larwrry 14. 2012
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Lzlu.-? ?rttt .'i.?•-?cty
?ir ('-S V r'VLLc?CiT+'S'
PARKS, RECRATION AND
20 CNIC CENTER ORNE
SANTA ANA. CA 92709
lNOeAD AMY OF TeE AECeYt O!!CWlD •OUClE
EE C?NCELLEO YrOrs THE EtPMAT10M PATE
TMEReOf. e.or9s wu Ee oa.rvaEO w
wCCOAMMCE Mw111 TerE Palstir oROME?OMS
POLICY NUMBER: AXGL03 1 00381-1 1 COMMERCIAL GENERAL L1At3iLITY
CG 20 26 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED -DESIGNATED
PERSON OR ORGANIZATION
This endoncement modes Insurance provided under the toNowing:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Persons Or O anlzatio s
The City of Santa Ana
20 Cfvlc Genter Plaza
Santa Ana, CA 92701
Information re uinsd to com late this Schedule N not shown above will be shown in the Declarations.
Section 11 -Who le An Insured is amended to M-
Gude as an additional insured the person(s) or w-
gartization(s) shown fn the Schedu?, bW only w?h
respect to GabiRiy fw ^bodty Injury'', ^property dam-
wnore w m par[, oy your acts or om?sswns or [ne accs '
missions-oHhose-acting-orryour-behat f.
A. In the performance of your ongoing operations; er
B_ In connection with your pnemises owned by w
-- - '3¢?
CG 20 26 07 04 O tS0 Properties, Mc., 2004 Pags i of 1 D
(3) Tha nature and locatkan of any Injury or
damage arising out of the 'occurrence" or
offense
b. If a cla"vn is made or "suiC' h brought agamet
any insured, you must:
(1) Immediately record the specifics of the
claim w "su1C and the date received; and
(2) Notify us as aeon as practicable
You must see to k that we receive wAttan no-
lice of the claim or "suit" as soon ss predica-
ble
c_ You and ar?y other Involved insured must:
(1) immediately send us copies of any de-
mands, notices, summonses or legal pa-
pers received in connection with the claim
or "suit";
(2) Authorize us to obtain records and other
inform®tion;
(3) Cooperate with us in the investigation or
settlement of the claim or defence against
the "suit"; and
(4) Assist us, upon our request, in the en-
for?rnent of any right against any person
or organization which may be tlaWe to the
insured because of injury w damage to
which this insurance may also appy
d.. No .insured will, except at that insured's own
cost, voluntarAy make a payment, assume any
obligation, w Incur any expanse, other than Iw
first aid. without our consent.
3_ Legal Action Againa Us
No person or organization has a right under this
Coverage Pori
a. To join us as ¦ party or otherwise bring us into
a "suit" asking for damages from an insurod; w
b_ To sue us on this Coverage Part unteas ail of
its terms have been fuly complied with
A person w organization may sue us to recover on
an agreed settlement or on a final judgment
against an insured; tort we wilt not be liable for
damages that are not dyable under the terms of
this Coverage Part w that are in excel: of the ap-
plicable limit of kisurence An agreed settlement
means a settlement and release of liability signed
by us, the insured and the claimant w the ctairrl-
ant's leggy representative
4_ Other Ir?surance
tf other valid rind colledtble inswance is available
to the ktsured for a kris we cover under Cover-
ages A w B of this Coverage Part, out obNgstkx?s
are I'mited as tvs:
a. Primary Insurance
Ttria insurance is prirnsry except when Para-
graph b, below eppties if this insurance ES prE-
mary, our obpgations ens not affected unless
any of the other insurance is also primary
Then, we wip share with all that other insur-
ance by the method described In Paragraph c.
below
b_ Excess Irnurance
(1) This insurance f6 excess over:
(a) Any of the other insurance, whether
primary, excess, contMgent or on any
other basis:
(i) That is Fire, Extended Coverage,
BuDder's Risk. Installation Risk or
similar coverage for "your work';
(i!) That is Fire insurance for premises
rented to you or temporarily occu-
p'rod by you with permission of the
owner.
(iii) That is irnurance purdiased by you
to cover your Hab?ty as a Conant for
"property damage' to premises
rersted to you or temporarily occu-
pied by you with permission of the
owner, or
(lv) If the loss arises out of the mainte-
nance or use of sircrelt, "autos" or
watercraft to the extent not subject to
Exclusion g. of Sedlon 1 -Coverage
A - Bod?r Injury And Property Dam-
age Liebittty
(b) Any other primary insurance available to
yyou covering tiabifky for damages arls-
Ing out of the premises w operations, w
ttre products and completed operations,
tw which you have been added as an
additional insured by attachment of an
endorsement
(2) When this insurance is excess, ova will have
no duty under Coverages A a B to defond
the insured against any "suit" if any other
insurer has a duty to defend the Insured
against that "sulY'. If no other insurer de-
fends, we wip undertake to do so, but we
will be entitled to the insured's rights
against all those other Ensurers
CG 00 01 12 07 fD ISO Properties, inc., 20013 Page 11 of 1? O
b. H a eisirrr b made or 'suFC is brought ??
cry insured, you moat:
(1) lnrmediatety raeord the apedtlcs of ttte
daim or'suiC and the date rec?ed; and
(? IJotify us as soon as practicable.
You must see ? it that w+e receive written no-
tics of the claim or 'salt' as soon as practica-
ble. .. ..
c. You and any other hrvoived bleared must:
(?) immec?tefy sent! us copies. of airy ?-
mands, ratites, sumnwnsas or b?al pa-
pers received Irr connecHiorr with the cledm
or'suiY ;
(? Autl'rorize us 10 obtain raoords and other
b?rforrrration;
(? Cooperate v?r1Ut us in the ?n or
settlement of the cidm a defense against
the 'suit'; and
(4j Assist us, upon our +?Q? in the sn-
foroertrsnt of any right against ?urY Peron or .
eared bepwseirjurY damage which
this krstrrance may also aPPy.
d. No insured wB1, exeapt at that Naund's own
cost. voiuntarWy make a Payrnsrrt, assume any
obigaLTon, or incur any a?ertse, other than for
fist aid. without our oonesrst.
3 Legal ACtiron /Ipainst lls
Ato person or organtzatlon has a right under this
Coverage Part.
a. To join us as a party or othsrwdse brbop us brco
a'suiC' askbrg for damages from an traured: or
b. To sue us on this Coverage Part airless ag of
its ferrite have been iugtr oomptied witft
A parson or oryantm5on ma4y sue us to naoover on
an agroed setlbmartt or on - a- final judgment
an bmcrrsd; but we wYl not be ?bie for
damages that are not payaWs under fire terms of
thFs C.overeps Part or fJtat aria br excess of the aP-
pflcabta Jimit of ?surarrce. An agreed settlsm?t
means a satllemartt and release of fabi@ty signed
by ua, the Insuretl and the ciatrrrant or the ctdm-
ant's legal representative.
a. Other irssuranq
H other vsid and ootlecd<xs insrranos fs avaifabie
m flee insured for a loss we oowr under Cover-
. aipes A or B of this Coverage Part: our obtlpations
ere 1?&ed as follo?wrs:
••• a. Prfaiary lnstrance -
This Maixarx;e is pslrnary exospt when b. below
appees. tf tt?le fnswanos is-IxlrtlarY, our ?iga-
tiona ara-not attested ur?wss arty of the offer
k?suranoe be afso primary. Their. wow wW share
wkh aB that otter insurance by tT?e mstlrod de-
scrbed to o. bsfaw. -
b_ FStcess rtssurance
This lnsurar>ce is oxcesa ovar_
(Y) Any of tt?e other kraauarux, whether K?-
mary, excess, contingent or an any other
basis:
(a) That !s Foe, Extended Coverage.
Batlldars Risk. ?iation Risk or sbnNar
oo4nerape for yor.rr Work';
(b) That bt Ftre insurance ?r premises
rerrpsd to you or teriiporartly oooupled by
you with perrrrisaton of the owner;
(o) That bs krstxance Ptinchassd by you to
oovei your Yabtltty as a Uenarrt for 'prop-
erty damage' m pr?errrbre?s esrrted m you
or terrrporarily ootxiPtsd. by You with
perrr?fon of the owner, or
(d) N the foss arises out of ttra maireamanos
a ass of abcraf't, 'autos' cx waieroraft to
ttre eocTSr?t not subject to E?adrrsion p. of
Section I - Cowrabe A - 6od[Y ?rll
Arxf Property Damage LlabSty.
(? Any other Primary {nairranow ava?le too
You owerinp tlablBtyr far clamapas
out of the fees or operatlorrs for
you have bs®n added as an addtioreel kr
cured by aKachment of an errdorsemenR.
Cti t>D 01 10 01 O l30 Properties. Mrs, 2000 Pape 17 of 16 O
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
POLICY CHANGES
Policy change
?.......?? .,t
POLICY NUMBER POLICY CHANGES COMPANY
AXGL031 00381-1 1 EFFECTIVE AXIS Insurance Company
04!22/11
NAMED gVSURED AUTHORIZED REPRESENTATIVE
The National Archery Association of the US American Specialty Insurance S Risk
Servkxa, Inc. dba A-S.I.R.S.I_ Insurance
Agency, American Specialty Insurance ?
Risk Services Agency, and A S Insurance &
Risk Services en
COVERAGE PARTS AFFECTED
Commercial General Liabiil
CHANGES
As of the etlftective date han?of, k is hereby understood and agreed that the attached Forth CG 2026(07/04)
ADDITIONAL ENSURED -DESIGNATED PERSON OR ORGANIZATION is added to the policy, but only with
respect to Parks and Recreation Program et Santiago Park Archery Range from April 22, 2011 through January
14, ao12.
No additional premium due.
All other terms end conditions remain unchanged.
Issued b KS rii 28 2011
Authorized epresenta a Sig renatu
IL 12 01 11 >a6 Copyright, insurance Services OfRce, Inc., 1983 Pegs 1 of 1 ?
Copyright, ISO Commercial Risk Services, k?c., 1983
POLICY NUMBER: AXGL031003t31-11 COMMERCIAL GENERAL LIABILITY
CG 20 26 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ iT CAREFULLY.
ADDITIONAL INSURED -DESIGNATED
PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
City of Santa Ana, its officers, agents and employees
Parks, Recreation and Community Services Agency
2B Civic Center Plaza
Santa Ana, CA 92701
twt only with respect to Parks and Recxeatlon Progrem at Santiago Park Archery Range from April 22, 201 1
through January 14, 2012.
Section 11 - Wtro Is An Insured is amended to in-
Gude as an additional insurod the person(s) or or-
gan'?zation(s) shaven In the Schedule, but ony with
respect bo 6abilily for -bodNy injury". "property dam-
e- or -personal and advertising injury" caused. In
whole or in part, by your acts or omissions or the sets
or omissions of those acting on your behalf:
A. In the performance of your ongoing operations; or
B. In connection with your premises owned by or
ranted to you.
CG 20 29 07 04 tD IS0 Propertie:, Inc., 2004 Page ? of 1 ?
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SANTA FE TRALL ARCHERS
/ 1 ]39 1MI.ILFIALL STREET
EL MONTE. GA 97732
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CEPCT NIMABER: 1000B535J9
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TICS !S TO COiTl1' TINT 7tE POLIClS OF w01JIW;E WT® ?CLOW HaY! SRN illlm 70 T? wiU11® Nw?!D NpY! ipt TF1t'r3t.ICY r?10O N?1CJ?TiR NOf WTNiTMWq/WY
RBCrA/IEUENi, TEris OR Cda6rTKw fJ/ ANY CONTRACT OR OTMdt OOGU?lMT 1NRM I@dT T6r MMON THE CERTIF1aATE WY ! 1EEUEp L>Il WY?lIRAYL THE w>NIWICE A/FOROED Olr
Th! POLtdEE OEZ1CItlE? Hl4? b EtALaT TO ALL THE TERlO. !)1d.UErOM!! AND CONOfT1Or0 OI'IICH rOUCIlS L61ITi iMOWN NAY MINE EEEH R2011ClD EY PNO tiLAilE
INS
LTR POLICY
TYPE
POLICY 111.9u116ER IGY
EFFEGT11rE
EJGFIRATION
LIMITS
S OOD
GL AXGL03100-'i81-11 01/15!20/ 1 01/154072 2 0 000
q .ooo.ooo
12.07 E m 12:07 s m 1 OOO OOO
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OF TIONS/LOCATIONS/VENI LES/EXCLUifOMS ADD dY ENDORSEMENT/SPECIAL PROVISIONS
- TqE Caf?NIrp10R YW M W wldtlolrl MYrM. WA per TYIEI rasped b 1M opeto2arb d Ilro NaeW ImuoO. oud ? b Ilr /ror111Pi one MilMiewn d Form G0 207f -
AOd'Aprol IrYVad - Oallynabd Parson or Or9ar?Yalbn. aul ony 1r111h rafpact b PARKS A!O RECRFATIOn1 PROORAY AT S/WTKOO PARK ARCHERY RMrOiE born AprY 27- 7611
E>tCarph Jsnaaty 1?. 2012
PARKS. RECR/?T10N ANO COMMUNITY SERVICES AfiENCY
20 CIVIC CENTER ORIVE
SANTA ANA. CA 92703
YIOtA6 AMY Of THE AEOVE OEEOYIlO.OLrCrEE
EE CANGm4? EEPoRI TM2 E%/IRATION GATE
THdLLOF- rs6Trea 11i.L M OBMR® w
I1000110ANGE rM1TH THE POLICY IRDVrar6NS
POLICY NUM$ER: AXGL03 100381-1 1 COMMERCIAL GENERAL LIABILITY
CG 20 2!< O7 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED -DESIGNATED
PERSON OR ORGANIZATION
This endorsement rrwdiries &?sunance provided under tha faFlowing:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
BGHEDULE
Name Of Additlonai insured Person(s) Or Oroaniratlon(s)
Tha City of Santa Ana
20 Chic Certtar Plaza
Santa Ana, CA 92701
Infom?stion reauinsd to COnlplete thla Schedule. E rwt shown shove. will be shown in the Dec?ratfons
Section 9 -Who is An insunsd is amended b in-
clude as an addklonal insured the parson(s) or or-
ganization(s) shown in the Sd?edule, but ony wkh
respect b tiabtNty ?r 'bodtN ?rY'. 'WoPe?Y ?*+-
A. In the performance of your ongoing openNions: or
B. In connection with your premiss owned by or
- --i3r
CG 20 26 O7 04 O ISO Properties, Inc., 2004 Page 1 of 1 O
b. H a clafrrr Is made or 'suit' is brot+t7ht apelnst
any ksumsd. you must
(1) Immediately record Ups spsoMics d Ure
c1aMn or 'suit' and the date received; and
(? Notify ? as soon as practlcabla.
You mtxt sae bo k tFast wee receive writferr no-
Uce d the cisim or 'su#' as soon as practlca-
ble.
G You and any other itvoived trrsurwd must:
(1) Imrnsdistely send ue copies d any ds-
mands, notbss, aumtrwness or bpel pa-
pers received it ?nnection with Ure alakn
or'suit';
(? Autltortze trs to obtain reeords and other
irforrnaUors;
(1h Cooperate with us in the iwesltQa7lon or
aemern®nt of the cJairn or del9wrse against
Ura "?'; and
(? dt ?'? rt. ? the an-
orparMmUorr wHctf may be b?fe ?tha tr?i-
stsed because d ir?rry or damage fo which
this i?os may also apply.
d. No treated wftl, except ? Urst trwrerPs own
cost. vohsrtarfly make a pagansnt, ess.rrne ary
oblipaUon, or irreta arm experrss, oUfar than fa
fist aid, wftlwut our oonaerrt_
3. L.eaal Action Ayair? lJs
hlo person or orparrtzstlon has a rlpM under #tls
coverage Part:
a. To Join us as a party or ot?hervulse bring trs trio
a'sult' askirp kudamaQes from an trssured; or
b. To aw us on UMs Coverage Part unless ? d
Its terms have been fatly oomptiad with.
A person or orpenizaUon may sw w to nscover on
an agreed settNmerrt or ort s tLml )uelDment
epelrmt err ir>etwed; but we wlU rwt bs tl?fa for
damages that are nottpaYatXe under Ure terms d
Ursa Part or ?eRt aro in amass of the ep-
pirabia d i>sarrarx?s. An agreed settlern?
mesrw a settlement and release d llabiUty alprred
by us. Ure krsurod and Ute clsiman! or Ure o?lm-
arrt's legal rapgerrtaUw.
4. Otlfer Insurance
n oU?er veld arrd coRect>bis tnstrranoe is avaiabls
to Ure insured for s ices v+ns cover tinder Cwror-
apee A or B d U>is Coverage Part, our obYpeuons
era WrnRed as follows: -
"' a. PAY 1nst?rroe ? .
This knuranoe k primary except when b. below
apptlss_ a Uric ktstvarres as primary, our oblipa-
Uons are not enacted unNss arty d Ura other
krsurancs <s a&o primary. Then, wa w? shar?o
with ati ttrat oUwr insurance by the method de-
scribed in o. bebw.
b_ EStoess Inauranos
This k?strranc® is excess over-.
(1) Arty d the other kraurarwe, whether pri-
mary: excess, conv?X or on any other
basis.
(a) That b Flre. Extended wraps
Butldwrs ?a1t. trmtaNetlon Risk orb slmHar
oov?srapa for'yocrr work';
(b) rsrrLed?to you AsritporaAy ooarptad by
you with parmisaion d tits owner,
(o) That. M i?etrnrros ptrotrased lay ytw to
eowr your tiebtllty w a ter>fnt for 'prop-
eror temporaAy oooupMd. by you?wi?i
perrrrissbn d t)re owner or
(d) N the lose arises out of the malrr6srranos
or tree d atrOrdt, 'aueos' or we6erorsft to
Urs ex®ertt trot subJed to Era?trsion ?_ d
t3eatlon 1 - Gowntbe A - Bodiy trrJtrry
And Property Damage Y-
? you coverirwp tiabiily Ito
out of the prer?es or operallons ku whk?r
you have bbssss added as en additlorW kr
eared by atOSClsrrent d an endorsement.
CQ 00 01 7001 tID ISO Properties, inc.. 2000 _.
X11 olla O