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9 <br /> POLICY NUMBER: CPP 0004696 00 COMMERCIAL GENERAL _IABILITY <br /> CG 20 26 07 04 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - DESIGNATED <br /> PERSON OR ORGANIZATION <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> Name Of Additional Insured Person(s) Or Organization(s) <br /> CITY OF EVERETT <br /> 3200 CEDAR ST %JAMES W MILLER <br /> EVERETT WA 98201 ' <br /> • <br /> Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br /> Section II - Who Is An Insured is amended to in- sions or the acts or omissions of those acting on <br /> clude as an additional insured the person(s) or or- your behalf: <br /> ganization(s) shown in the Schedule, but only with A. In the performance of your ongoing operations; <br /> respect to liability for "bodily injury", 'property or <br /> damage" or "personal ;and advertising injury" <br /> caused, in whole or in part, by your acts or orris- B. In connection with your premises owned by or <br /> rented to you. <br /> • <br /> CG 20 26 07 04 Copyright, ISO Properties, Inc., 2004 I Page 1 of 1 <br /> UNIFORM <br /> 63 <br />