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POLICY NUMBER: CPS2600159 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations CITY OF EVERETT ITS OFFICERS, EMPLOYEES AND AGENTS 2930 WETMORE, SUITE A EVERETT, WA 98201 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to in- B. With respect to the insurance afforded to these clude as an additional insured the person(s) or or- additional insureds, the following additional exclu- ganization(s) shown in the Schedule, but only with sions apply: respect to liability for"bodily injury", "property dam- This insurance does not apply to "bodily injury" or age"or "personal and advertising injury" caused, in "property damage"occurring after: whole or in part, by: 1. All work, including materials, parts or equip- 1. Your acts or omissions; or ment furnished in connection with such work, 2. The acts or omissions of those acting on your on the project (other than service, mainte- behalf; nance or repairs) to be performed by or on in the performance of your ongoing operations for behalf of the additional insured(s) at the loca- the additional insured(s) at the location(s) desig- tion of the covered operations has been com- nated above. pleted; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional in- intended use by any person or organization sured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a princi- 2. If coverage provided to the additional insured pal as a part of the same project. is required by a contract or agreement, the in- surance afforded to such additional insured will not be broader than that which you are re- quired by the contract or agreement to provide for such additional insured. CG 20 10 04 13 Copyright, Insurance Services Office, Inc., 2012 Page 1 of 2 INSURED cg20100413.fap