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POLICY NUMBER: BUSINESSOWNERS <br /> BP 04 50 07 13 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - OWNERS, LESSEES <br /> OR CONTRACTORS - SCHEDULED PERSON <br /> OR ORGANIZATION <br /> This endorsement modifies insurance provided under the following: <br /> BUSINESSOWNERS COVERAGE FORM <br /> SCHEDULE <br /> Name Of Additional Insured Person(s) Or Organization(s) <br /> - CITY OF EVERETT, ITS OFFICERS, AGENTS AND EMPLOYEE <br /> - Location(s) Of Covered Operations <br /> Owners, Lessors or Contractors Scheduled Person <br /> or Organization <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: B. With respect to the insurance afforded to <br /> A. The following is added to Paragraph C. Who these additional insureds, the following addi- <br /> Is An Insured: tional exclusions apply: <br /> 3. Any person(s) or organization(s) shown This insurance does not apply to "bodily in- <br /> in the Schedule is also an additional in- jury" or "property damage" occurring after: <br /> sured, but only with respect to liability for 1. All work, including materials, parts or <br /> "bodily injury", "property damage" or equipment furnished in connection with <br /> "personal and advertising injury" such work, on the project (other than ser- <br /> caused, in whole or in part, by: vice, maintenance or repairs) to be per- <br /> a. Your acts or omissions; or formed by or on behalf of the additional <br /> b. The acts or omissions of those acting insured(s) at the location of the covered <br /> on your behalf; operations has been completed; or <br /> in the performance of your ongoing oper 2. That portion of "your work" out of which <br /> ations for the additional insured(s) at the the injury or damage arises has been put <br /> location(s) designated above. to its intended use by any person or or- <br /> ganization other than another contractor <br /> However: or subcontractor engaged in performing <br /> a. The insurance afforded to such addi- operations for a principal as a part of the <br /> tional insured only applies to the ex- same project. <br /> tent permitted by law; and <br /> b. If coverage provided to the addition- <br /> al insured is required by a contract or <br /> agreement, the insurance afforded to <br /> such additional insured will not be <br /> broader than that which you are re- <br /> quired by the contract or agreement <br /> to provide for such additional in- <br /> sured. <br /> BP 04 50 07 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 <br />