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POLICY NUMBER: B0P001734702 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 Is a. The insurance afforded to such additional <br /> An Insured: insured only applies to the extent <br /> 3. Any state or governmental agency or permitted by law;and <br /> subdivision or political subdivision shown in b. If coverage provided to the additional <br /> the Schedule is also an additional insured, insured is required by a contract or <br /> subject to the following additional provision: agreement, the insurance afforded to such <br /> This insurance applies only with respect to additional insured will not be broader than <br /> the following hazards for which the state or that which you are required by the contract <br /> governmental agency or subdivision or or agreement to provide for such <br /> political subdivision has issued a permit or additional insured. <br /> authorization in connection with premises you B. With respect to the insurance afforded to these <br /> own, rent or control and to which this additional insureds, the following is added to <br /> insurance applies; Paragraph D. Liability And Medical Expenses <br /> a. The existence, maintenance, repair, Limits Of Insurance: <br /> construction, erection or removal of If coverage provided to the additional insured is <br /> advertising signs, awnings, canopies, required by a contract or agreement,the most we <br /> cellar entrances, coal holes, driveways, will pay on behalf of the additional insured is the <br /> manholes, marquees, hoistaway amount of insurance: <br /> openings, sidewalk vaults, street banners 1. Required by the contract or agreement;or <br /> or decoration and similar exposures; <br /> 2. Available under the applicable Limits Of <br /> b. The construction, erection or removal of Insurance shown in the Declarations; <br /> elevators;or <br /> whichever is less. <br /> c. The ownership, maintenance or use of any <br /> elevators covered by this insurance. This endorsement shall not increase the <br /> applicable Limits Of Insurance shown in the <br /> Declarations. <br /> BP 04 07 07 13 0 Insurance Services Office, Inc., 2012 Page 1 of 1 <br />