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C * S1 ` 10/23/17` PAC0595255-04 121734799 " D/B ORIG IMAGE COPY <br /> 0253693 GREAT AMERICAN ASSURANCE CO <br /> CG 20 26 ( Ed .04/13 ) <br /> Policy : PAC 059-52-55 04 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - DESIGNATED PERSON OR 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 ) or Organization ( s ) : <br /> THE CITY OF EVERETT, ITS OFFICERS, EMPLOYEES AND AGENTS <br /> 2930 WETMORE AVE STE #8A <br /> EVERETT, WA 98201 <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 include as an additional insured the person(s) or <br /> organization(s) shown in the Schedule, but only with respect to liability for "bodily injury," "property damage" <br /> or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or <br /> omissions of those acting on your behalf: <br /> 1. in the performance of your ongoing operations; or <br /> 2. in connection with your premises owned by or rented to you. <br /> However: <br /> 1. the insurance afforded to such additional insured only applies to the extent permitted by law; and <br /> 2. if coverage provided to the Additional Insured is required by a contract or agreement, the insurance <br /> afforded to such additional insured will not be broader than that which you are required by the contract <br /> or agreement to provide for such additional insured. <br /> Copyright, ISO Properties , Inc . , 2012 <br /> CG 20 26 04/13 (Page 1 of 2 ) <br />