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POLICY NUMBER: BUSINESSOWNERS <br /> BP 04 07 07 13 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - STATE OR GOVERNMENTAL <br /> AGENCY OR SUBDIVISION OR POLITICAL <br /> SUBDIVISION - PERMITS OR AUTHORIZATIONS <br /> RELATING TO PREMISES <br /> This endorsement modifies insurance provided under the following: <br /> BUSINESSOWNERS COVERAGE FORM <br /> SCHEDULE <br /> State Or Governmental Agency Or Subdivision Or Political Subdivision: <br /> CITY OF EVERETT <br /> Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br /> Section II -Liability is amended as follows: However: <br /> A. The following is added to Paragraph C. Who a. The insurance afforded to such addi- <br /> Is An Insured: tional insured only applies to the ex- <br /> 3. Any state or governmental agency or tent permitted by law; and <br /> subdivision or political subdivision b. If coverage provided to the <br /> shown in the Schedule is also an addi- additional insured is required by a <br /> tional insured, subject to the following contract or agreement, the insurance <br /> additional provision: afforded to such additional insured <br /> This insurance applies only with respect will not be broader than that which <br /> to the following hazards for which the you are required by the contract or <br /> state or governmental agency or subdivi- agreement to provide for such addi- <br /> sion or political subdivision has issued a tional insured. <br /> permit or authorization in connection B. With respect to the insurance afforded to <br /> with premises you own, rent or control these additional insureds, the following is <br /> and to which this insurance applies: added to Paragraph D. Liability And Medical <br /> a. The existence, maintenance, repair, Expenses Limits Of Insurance: <br /> construction, erection or removal of If coverage provided to the additional insured <br /> advertising signs, awnings, cano- is required by a contract or agreement, the <br /> pies, cellar entrances, coal holes, most we will pay on behalf of the additional <br /> driveways, manholes, marquees, insured is the amount of insurance: <br /> hoistaway openings, sidewalk 1. Required by the contract or agreement; <br /> vaults, street banners or decoration or <br /> and similar exposures; <br /> 2. Available under the applicable Limits Of <br /> b. The construction, erection or remov- Insurance shown in the Declarations; <br /> al of elevators; or <br /> whichever is less. <br /> c. The ownership, maintenance or use This endorsement shall not increase the ap- <br /> of any elevators covered by this in- plicable Limits Of Insurance shown in the <br /> surance. <br /> Declarations. <br /> BP 04 07 07 13 ® Insurance Services Office, Inc., 2012 Page 1 of 1 <br />