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POLICY NUMBER: PAS037663755 COMMERCIAL GENERAL LIABILITY <br /> CG 20 10 07 04 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - OWNERS, LESSEES OR <br /> CONTRACTORS - 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 Organization(s): Location(s) Of Covered Operations <br /> Snohomish County, its officers, elected officials, All locations <br /> agents and employees <br /> Information required to complete this Schedule, if not shanm above,will be shown in the Declarations. <br /> A. Section II Who Is An Insured is amended to B. VVfifi respect lo the insurance afforded to these <br /> include as an additional insured the person(s) or additional insureds, the fallowing additional exclu— <br /> organization(s) shown in the Schedule, but only sions apply: <br /> with respect to liability for'bodily injury', 'property This insurance does not apply to 'bodily injury" cr <br /> damage" or 'personal and advertising injury" "property damage"occurring after: <br /> caused, in whole or in part by: <br /> 1. All worm including materials, parts or equip- <br /> 1. Your acts oromssions; or ment fumshed in connection with such work, <br /> 2. The acts or omissions of those acting on your on the project (other than service, maintenance <br /> behalf or repairs) io be performed by or on behalf of <br /> in the performance of your ongoing operations for the additional insured(s) at the bcatron of the <br /> the additional insured(s) at the bcation(s) desg— <br /> covered operations has been completed, or <br /> nated above. 2. That portion of'your work' out of which the <br /> injury or damage arises has been put to its in— <br /> tended use by any person or organization other <br /> than another oorrtraetr_r or subcontractor en— <br /> gaged in performing operations for a princgal <br /> as a part ofthe same project <br /> CG 20 10 07 04 Copyright, ISO Properties, Inc., 2004 Page 1 of 1 ❑ <br />