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POLICY NUMBER: ENV562000363-01 COMMERCIAL GENERAL LIABILITY <br /> CG20120798 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - <br /> STATE OR POLITICAL SUBDIVISIONS - PERMITS <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> State Or Political Subdivision: <br /> City of Everett <br /> Attn: Chris Lark <br /> 2930 Wetmore Ave Suite 9E <br /> Everett,WA 98201 <br /> (If no entry appears above, information required to complete this endorsement will be shown in the Declarations <br /> as applicable to this endorsement.) <br /> Section II — Who Is An Insured is amended to 2. This insurance does not apply to: <br /> include as an insured any state or political a. "Bodily injury," "property damage" or <br /> subdivision shown in the Schedule, subject to the "personal and advertising injury"arising out of <br /> following provisions: operations performed for the state or <br /> 1. This insurance applies only with respect to municipality; or <br /> operations performed by you or on your behalf b. "Bodily injury" or "property damage" <br /> for which the state or political subdivision has included within the "products- <br /> issued a permit completed operations hazard". <br /> CG 20 12 07 98 Copyright, Insurance Services Office, Inc., 1997 Page 1 of 1 <br />