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NiJMYROVITS <br />INSURANCE <br />hcEryace c>t� CAr.�pnNtn <br />A r(¢�d /ar Inrurannc, A Naurt jar Nunp.n/Ilt. <br />POLICY NUMBER: 2018-09201 <br />THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY, <br />ADDITIONAL INSURED <br />PRIMARY AND NON-CONTRIBUTORY <br />ENDORSEMENT' FOR PUBLIC ENTITIES <br />fhle endorsement niodlflaa Insuranc6 provided under the following; <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name r}Y Perart-or( ?rguniaEfn <br />Any person or organization that you are required to add as an additional insured on th(s policy <br />under a written contract or agreement currently in effect or b000 nIng effective during Rho farm of <br />this pollcy, In consideration of food contribution or client referrals you receive from them, <br />(Information required to complete this Sohedulo, If not shown above, will be shown In the Declarations,) <br />A. Section It — Who Is An Inatarod is amended to Include any public entity as an additional <br />Insured for whom you are performing operations, who may be named In the schedule above, when you <br />have agreed In a written contract or written agreement that such public entity be added as an additional <br />Insured(a) on your poiloy, but only with respect tc liability for "bodily Injury", "property damage" or <br />"personal and advertising Injure" cnuaad, In whole or in part, by, <br />1. Your negligent acts or omissions; or <br />2. The negligent acts or omissions of those acting on your behalf; in the performance of your <br />ongoing operations, <br />No such public, entity Is an additional insured for liability arising out of the "products�comploted <br />operations hazard" or for liability arising out of the sole negligence of that public entity. <br />S. With respect to the Insurance affordad to these additional Insured(,,), the following additional <br />axclualons apply, <br />This insurance does not apply to "bodily injury" or "property damage" occurring after: <br />1. All work, Including matorlals, parts or equipment furnished in conneotlon with such work, on the <br />project (other than service, maintenance or ropairs) to be performed by or on behalf of the <br />additional insured(a) at the location of the covered operations has been completed, or <br />2. All work, Including Inoterlals, parts or equipment furnished In connection with suoh work, on the <br />project (other than service, maintenance or repairs) to be performed by or on behalf of the <br />additional insurod(s) at the location of the covered operations has been completed; or <br />C. The following Is added to SECTION III — LIMITS OF INSURANCE: <br />The Ilmits of Insurance applicable to the additional Inaured(s) are those specified in the written contract <br />bolween you and the additional insured(s), or the Ilmits available under this policy, whichever are less. <br />These limits are part of and not In addition to the limits of insurance under this policy, REVIEWED & APPROVED <br />By Risl< MANAaEiMENT DivisioN- <br />SEP 0 4 2019 <br />L RANCINE R. VILLAREAL <br />