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SMO FRM 5416556341 SNO-VALLEY FARMS INC EFFECTIVE: 02/01/2017 PROCESSED: 01/03/2017 <br /> O S;nals94 OREGON MUTUAL INSURANCE COMPANY M2682F (9-07) <br /> ADDITIONAL INSURED—FARM LIABILITY <br /> • PERSON OR ORGANIZATION FROM WHOM YOU LEASE LAND <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> This endorsement modifies insurance provided under the FARM LIABILITY COVERAGE FORM <br /> SCHEDULE <br /> Item 1. Name of Additional Insured Person(s) or Organization(s)from whom you lease land: <br /> CITY OF EVERETT <br /> REAL PROPERTY MANAGER <br /> Item 2. Description and Location of land (specify part leased to you): <br /> 170 ACRES <br /> The definition of"insured" is amended to include as an additional insured the person(s) or organization(s) named in <br /> item 1. of the Schedule, but only with respect to liability arising out of the ownership, maintenance or use of land and <br /> premises owned by or leased to you and designated in the Schedule as item 2. <br /> The insurance provided under this endorsement does not apply to: <br /> 1. Any "occurrence"that takes place after the expiration of the lease of land or premises described in item 2. of the <br /> Schedule; <br /> 2. Structural alterations, new construction or demolition operations performed by or on behalf of any person or <br /> organization described in item 1. of the Schedule; or <br /> 3. "Bodily injury"to any "residence employee" of any person or organization named in item 1. of the Schedule when <br /> the "bodily injury" arises out of or in the course of the employee's employment by the person or organization. <br /> M2682F (9-07) Includes copyrighted material of Insurance Services Office, Inc., 1985, 1989 071221 FRM <br />