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POLICY NUMBER: AA4018 LHW D481967 COMMERCIAL GENERAL LIABILITY <br /> CG:20 12 07.98 <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, its officers, employees and agents <br /> 2930 Wetmore Ave. <br /> Everett,WA 98201 <br /> (If no entry appears above; information required to.comp.lete.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 subdivi- a. "Bodily injury," "prop.erty damage" or "per <br /> sion shown in the Schedule, subject to the.following sonal and advertising injury" arising out. of <br /> provisions: operations performed for the State or muriici- <br /> 1. This insurance applies only with respect.to op- pality,or <br /> erations performed by you or on your behalf for b. "Bodily injury" or "property damage" included <br /> which the state or political subdivision has issued within the "products-completed 'operations <br /> a permit. hazard". <br /> CG 20 12 67 98 Copyright, Insurance.Services Office; Inc., 1997 Page 1 of 1 <br />