Snohomish County Legal Services 5/30/2018

POLICY NUMBER: PAS037663755 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 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 All locations Information required to complete this Schedule, if not shannn above,will be shown h the Declarations. A. Section II V1firo Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional exclu— organization(s) shown in the Schedule, but only sions appy: with respect in liability for"bodily injury', "properly This insurance does not appy to 'bodily injury' or damage" or 'personal and advertising injury" "property damage"orru wring alter: caused, in whole or in part, by: 1. All work, including materials, parts or equip- 1. Your acts or omissions; or ment fumshed in connection with such work, 2. The acts or omissions of those acting on your on the project(other than service, maintenance behalf, or repairs) to be perfarrned by or on behalf of in the performance of your ongoing operations Tor the additional insured(s) at the location of the the additional insured(s) at the cation(s) desig— coveredoperations has been completed; or location(s) above. 2. That portion of'your worm' out of which the injury or damage arises has been put In its in— tended use by any person or organization other than another contractor or subcontractor en— gaged h perfuming operations far a principal • as a part ofthe same project • CG 20 10 07 04 Copyright; ISO Properties, Inc., 2004 Page 1 oil LI