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POLICY NUMBER: BOP 0016703 02 BUSINESSOWNERS <br /> BP04480713 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - DESIGNATED 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, <br /> EMPLOYEES &AGENTS <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 these <br /> A. The following is added to Paragraph C.Who Is An additional insureds, the following is added to <br /> Insured: Paragraph D. Liability And Medical Expenses <br /> Limits Of Insurance: <br /> 3. Any person(s) or organization(s) shown in the <br /> Schedule is also an additional insured, but only If coverage provided to the additional insured is <br /> with respect to liability for "bodily injury", required by a contract or agreement, the most we <br /> "property damage"or"personal and advertising will pay on behalf of the additional insured is the <br /> injury" caused, in whole or in part, by your acts amount of insurance: <br /> or omissions or the acts or omissions of those 1. Required by the contract or agreement; or <br /> acting on your behalf in the performance of 2. Available under the applicable Limits Of <br /> your ongoing operations or in connection with Insurance shown in the Declarations; <br /> your premises owned by or rented to you. <br /> However: whichever is less. <br /> a. The insurance afforded to such additional This endorsement shall not increase the <br /> insured only applies to the extent permitted applicable Limits Of Insurance shown in the <br /> Declarations. <br /> by law; and <br /> b. If coverage provided to the additional <br /> insured is required by a contract or <br /> agreement, the insurance afforded to such <br /> additional insured will not be broader than <br /> that which you are required by the contract <br /> or agreement to provide for such additional <br /> insured. <br /> BP 04 48 07 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 <br />