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POLICY NUMBER: COMMERCIAL GENERAL LIABILITY <br /> CG20371219 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - OWNERS, LESSEES OR <br /> CONTRACTORS - COMPLETED OPERATIONS <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART <br /> SCHEDULE <br /> Name Of Additional Insured Person(s) <br /> Or Organization(s) Location And Description Of Completed Operations <br /> The City of Santa Ma, its officers, officials, <br /> employees,and volunteers <br /> All Operations <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 B. With respect to the insurance afforded to these <br /> include as an additional insured the person(s) or additional insureds, the following is added to <br /> organization(s) shown in the Schedule, but only Section III—Limits Of Insurance: <br /> with respect to liability for"bodily injury"or"property If coverage provided to the additional insured is <br /> damage"caused, in whole or in part, by"your work" required by a contract or agreement, the most we <br /> at the location designated and described in the will pay on behalf of the additional insured is the <br /> Schedule of this endorsement performed for that amount of insurance: <br /> additional insured and included in the "products- <br /> completed operations hazard". 1. Required by the contract or agreement;or <br /> However: 2. Available under the applicable limits of <br /> 1. The insurance afforded to such additional <br /> insurance; <br /> insured only applies to the extent permitted by whichever is less. <br /> law;and This endorsement shall not increase the applicable <br /> 2. If coverage provided to the additional insured is limits of insurance. <br /> required by a contract or agreement, the <br /> insurance afforded to such additional insured <br /> will not be broader than that which you are <br /> required by the contract or agreement to provide <br /> for such additional insured. <br /> \ / <br /> et <br /> -�-,_� ��entDivision <br /> �: REVIEWED&APPROVED BY: <br /> t Asl,zflc¢vzdo <br /> iissmaza <br /> Risk Management Specialist <br /> / a <br /> CG 20 37 12 19 ©Insurance Services Office, Inc., 2018 Page 1 of 1 <br /> MWZY 313941 24 PCL Construction Enterprises,Inc. 07/01/24-07/01/25 <br />