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i <br /> E <br /> E{ <br /> E <br /> E <br /> POLICY NUMBER:C)a 4GL01371251 COMMERCIAL GENERAL LIABILITY <br /> CG 2012 0413 <br /> I <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> E <br /> I <br /> ADDITIONAL INSURED - STATE OR GOVERNMENTAL <br /> AGENCY OR SUBDIVISION OR POLITICAL <br /> SUBDIVISION - 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 /> ANY STATE OR GOVERNMENTAL AGENCY OR SUBDIVISON OR POLITICAL, ; <br /> SUBDIVISION AS REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED. <br /> THE WRITTEN CONTRACT MUST BE SIGNED PRIOR TO THE DATE OF THE "BODILY <br /> INJURY", "PROPERTY DAMAGE", OR "PERSONAL AND ADVERTISING INJURY" . <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 2. This Insurance does not apply to: <br /> include as an additional insured any state or a. "Bodily injury", "property damage" or <br /> governmental agency or subdivision or political "personal and advertising injury"arising out <br /> subdivision shown in the Schedule, subject to the of operations performed for the federal <br /> following provisions: government, state or municipality; or <br /> 1. This Insurance applies only with respect to b. "Bodily injury" or "property damage" <br /> operations performed by you or on your behalf included within the "products-completed <br /> for which the state or governmental agency or operations hazard <br /> subdivision or political subdivision has issued B. With respect to the insurance afforded to these <br /> a permit or authorization. additional insureds, the following is added to <br /> However: Section III —Limits Of Insurance: <br /> a. The Insurance afforded to such additional If coverage provided to the additional insured is <br /> reqquired by a contract or agreement, the most we <br /> insured only applies to the extent permitted will pay on behalf of the additional insured is the <br /> by law; and amount of insurance: <br /> 3 <br /> b. If coverage provided to the additional 1. Required by the contract or agreement; or <br /> Insured is required by a contract or 2. Available under the applicable Limits of <br /> agreement, the insurance afforded to such Insurance shown in the Declarations; <br /> additional insured will not be broader than whichever is less. <br /> that which you are required by the contract <br /> or agreement to provide for such additional This endorsement shall not increase the <br /> insured. applicable Limits of Insurance shown in the <br /> Declarations. E <br /> I <br /> E <br /> E <br /> CG 2012 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 <br /> INSURED COPY <br />