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gg <br /> POLICY NUMBER: 9403766 COMMERCIAL GENERAL LIABILITY <br /> CG 20 10 04 13 <br /> THS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED a OWNERS, LESSEES OR <br /> CONTRACTORS a SCHEDULED PERSON OR <br /> 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) <br /> Or Organizations: Locations)Of Covered Operations <br /> ITY OF EVERETT See IL-F-40U066 <br /> !PURCHASING <br /> ?200 CEDAR ST#5 <br /> VVERETT WA 98201 <br /> I ' <br /> nformation 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 B. With respect to the insurance afforded to these <br /> include as an additional insured the person(s) or additional insureds, the following additional <br /> organization(s) shown in the Schedule, but only exclusions apply: <br /> with respect to liability for "bodily injury", This insurance does not apply to"bodily injury"or <br /> "property damage" or "personal and advertising "property damage"occurring after: <br /> injury"caused,in whole or in part,by: <br /> 1. All work, including materials, parts or <br /> 1. Your acts or omissions;or equipment furnished in connection with such <br /> 2. The acts or omissions of those acting on your work, on the project (other than service, <br /> behalf; maintenance or repairs)to be performed by or <br /> in the performance of your ongoing operations for on behalf of the additional insured(s) at the <br /> the additional insured(s) at the location(s) location of the covered operations has been <br /> designated above. completed;or <br /> However: 2. That portion of "your work" out of which the <br /> 1. The insurance afforded to such additional injury or damage arises has been put to its <br /> insured only applies to the extent permitted by intended use by any person or organization <br /> taw;and other than another contractor or subcontractor <br /> engaged in performing operations for a <br /> 2. If coverage provided to the additional insured principal as a part of the same project. <br /> is required by a contract or agreement, the <br /> insurance afforded to such additional insured <br /> will not be broader than that which you are <br /> required by the contract or agreement to <br /> provide for such additional insured. <br /> SERVICE ELECTRIC CO INC <br /> PO BOX 1489 <br /> SNOHOMISH WA 98291 <br /> © Insurance Services Office,Inc.,2012 Page 1 of 2 <br /> CG 20 10 04 13 Policy Number:9408766 Transaction Effective Date:02-09-2018 <br />