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5 <br /> POLICY NUMBER: RRO 5253-00 COMMERCIAL GENERAL LIABILITY <br /> CG 20 11 01 96 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> 1. Designation of Premises (Part Leased to You): <br /> 2. Name of Person or Organization(Additional Insured): <br /> CITY OF EVERETT, ITS OFFICERS, EMPLOYEES AND AGENTS <br /> RE: CITY OF EVERETT <br /> 3. Additional Premium: INCLUDED <br /> (If no entry appears above, the information required to complete this endorsement will be shown in the Declarations as <br /> applicable to this endorsement.) <br /> WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown In the Schedule <br /> but only with respect to liability arising out of the ownership, maintenance or use of that part of the premises leased to you <br /> and shown in the Schedule and subject to the following additional exclusions: <br /> This insurance does not apply to: <br /> 1. Any"occurrence"which takes place after you cease to be a tenant in that premises. <br /> 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person or organization <br /> shown in the Schedule. <br /> CG 20 11 01 95 �� Copyright,Insurance Services Office, Inc., 1994 Page 1 of 1 <br />