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POLICY NUMBER: MAC 202-68-91-00/LGIT0138 COMMERCIAL GENERAL LIABILITY <br /> CG 20 11 04 13 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - MANAGERS OR <br /> LESSORS OF PREMISES <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> Designation Of Premises(Part Leased To You): <br /> Name Of Person(s) Or Organization(s) (Additional Insured): City of Everett <br /> Its Officers,Employees,and Agents <br /> 2930 Wetmore#9A <br /> Everett,WA 98201 <br /> Additional Premium: $ 0 <br /> Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br /> A. Section II — Who Is An Insured is amended to 2. If coverage provided to the additional insured <br /> include as an additional insured the person(s) or is required by a contract or agreement, the <br /> organization(s) shown in the Schedule, but only insurance afforded to such additional insured <br /> with respect to liability arising out of the will not be broader than that which you are <br /> ownership, maintenance or use of that part of the required by the contract or agreement to <br /> premises leased to you and shown in the provide for such additional insured. <br /> Schedule and subject to the following additional B. With respect to the insurance afforded to these <br /> exclusions: additional insureds, the following is added to <br /> This insurance does not apply to: Section III—Limits Of Insurance: <br /> 1. Any "occurrence" which takes place after you If coverage provided to the additional insured is <br /> cease to be a tenant in that premises. required by a contract or agreement, the most we <br /> 2. Structural alterations, new construction or will pay on behalf of the additional insured is the <br /> demolition operations performed by or on amount of insurance: <br /> behalf of the person(s) or organization(s) 1. Required by the contract or agreement; or <br /> shown in the Schedule. 2. Available under the applicable Limits of <br /> However: Insurance shown in the Declarations; <br /> 1. The insurance afforded to such additional whichever is less. <br /> insured only applies to the extent permitted This endorsement shall not increase the <br /> by law; and applicable Limits of Insurance shown in the <br /> Declarations. <br /> CG 20 11 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 1 <br />