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POLICY NUMBER: <br />COMMERCIAL GENERAL LIABILITY <br />ISSUE DATE: <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - STATE OR GOVERNMENTAL <br />AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - <br />PERMITS OR AUTHORIZATIONS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />State Or Governmental Agency Or Subdivision Or Political Subdivision: <br />PROVISIONS <br />The following is aged to SECTION II — WHO IS AN <br />INSURED: <br />Any state or governmental agency or subdivision or <br />political subdivision shown in the Schedule is an <br />insured, subject to the following provisions: <br />1. This insurance applies only with respect to <br />operations performed by you or on your behalf for <br />which the state or governmental agency or <br />subdivision or political subdivision has issued a <br />permit or authorization. <br />2. This insurance does not apply to: <br />a. "Bodily injury," "property damage", "personal <br />injury" or "advertising injury' arising out of <br />operations performed for the federal <br />government, state or municipality, or <br />b. "Bodily injury' or "property damage" included <br />within the "products -completed operations <br />hazard". <br />4 <br />CG D2 69 0416 C 1 a Tradelsrs Indemnity Company. All rights reserved. <br />Includes! d material of Insurance Services Office, Inc., math its permission. <br />Page 1 of 1 <br />