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<br />~ <br />- <br />~ <br />- <br />!!!!!!! <br />== <br />~ <br />=: <br />;;;:;;;;;;; <br />- <br />~ <br />Il!l:!!! <br />!!!!!!! <br />- <br />- <br />iii <br />- <br />- <br />- <br /> <br />MAY 19 2005 14:30 FR FREEMAN - PEARCE <br /> <br />leNA <br /> <br />_All iM c-~ lbu"" <br /> <br />714 628 1330 TO 19498556405 <br /> <br />P.03/04 <br />G-134S02-B <br />(Ed. 06101) <br /> <br />THIS ENDORSEMENT CHANG!S THE POLICY. PLEASE READ IT CAREFULLY. <br />NONCONTRACTOR'S ADDITIONAL INSURED ENDORSEMENT <br /> <br />This endorsement modlfiea insurance provided under the following: <br />COMMERCiAl GENERAL LIABILITY COVERAGE PART <br /> <br />- <br />~ <br /> <br />A. WHO IS AN INSURED (SectIon II) is amended to <br />Include as an insured any parson or organization <br />(called additional insured) described in paragraphs <br />A.1. through "'7. below whom you are required to add <br />as an additional Insured on this policy under a written <br />contract or written agreement: but the written contract <br />or written agreement must be: <br /> <br />1. Currently in effect or becoming effgctive during thG <br />term of this policy; or <br /> <br />2. Executed prior to the "bodily injury,., "property <br />damage" or "personal injury and adVf;lrtls1ng <br />ihjUry," but <br /> <br />Only thQ following persons or organizations are <br />additional insureds under this endorsement and <br />coverage provided to such additional Insurods is <br />limited as provided herein: <br /> <br />1. ADDITIONAL INSURED STATE OR <br />POLITICAL SUBDIVISIONS - PERMITS <br /> <br />A state or political subdiVision subject to the <br />following provisions: <br /> <br />(a) This insurance applies only with respect to the <br />following hazards for which the state or <br />politioal subdivision has IssUGd a permit in <br />connection with premises you own, rent, or <br />control and to which thiS Insurance applies: <br /> <br />(1) Tho existence, maintQnance, repair, <br />construction, erection, or removal of <br />advertising signs, awnings, canopies, <br />cellar entrances, coal holes, driveways, <br />manholes, marquees, holstaway <br />openings, sidewalk vaults. street banners, <br />or decorations and similar exposures; or <br /> <br />(2) fhe construction, erection, or removal of <br />elevators; or <br /> <br />(3) The ownership, maintenanoe, or usa of <br />any elevators covered by this insurance. <br /> <br />(b) This insurance applies only with respect to <br />oporations perfomt9d by you or on your behalf <br />for which the state or political subdivision has <br />issued a permit. <br /> <br />This insurance OOQs not apply to l'bodily injury:' <br />upropert.y damage" or ''personal and advertising <br />Injury- arising out of operations performed for the <br />state or municipality. <br />APPROVBD r~~' IU <br /> <br />~ <br />... <br /> <br /> <br />I <br /> <br />(3-134802-6 <br />(Ed. 06101) <br /> <br />tei ) .. /) <br />/1 ' .) <br />Laura Stitt Sheedy <br />Assistant City Attornev <br /> <br />2. ADDmONAL INSURED - CONTAOWNG <br />INTEREST <br /> <br />Arly ~ersons or organizations with a controlling <br />interest In you but only with respect to their liability <br />arising out of~ <br /> <br />(.) Their financial control of you; or <br /> <br />(b) Premisss thoy own, maintain or control while <br />you lease or occupy thess prstni5a$. <br /> <br />This insurance does not apply to structural <br />alterations, new oonstructlon and demolition <br />operations performed by or for such additional <br />insured. <br /> <br />3. ADOmONAL INSURED - MANAGERS OR <br />LESSORS OF PREMISES <br /> <br />A manager or lessor of promlsas but only with <br />rospect to liability arising out of the ownership, <br />maintenance or use of that specific part of the <br />premisQs leased to you and subject to the <br />following additional exclusions: <br /> <br />This insurance does not apply to: <br /> <br />(a) Any .occurrenc;" which takes place after you <br />caasEI to be a tenant In that premises: or <br /> <br />(b) Structural alterations, new construction or <br />demolition operations performed by or on <br />b9hal1 of such additional Insured. <br /> <br />4. ADDITIONAL INSURED - MORTGAGEE, <br />ASSIGNEE OR RECEIVER <br /> <br />A mortgagee, assignee or receiver but only with <br />respect to their liability as mortgagee, assignee, or <br />receiver and arising out of the ownership, <br />maintenance, or use of a premises by you. <br /> <br />This insurance does not apply to structural <br />alterations. new constructIOn or demolItion <br />operations performed by or fOr suoh additional <br />insured. <br /> <br />S, ",POllIONAL INSURED - OWNERS OR OTHER <br />INTEAE6TS FROM WHOM LAND HAS BEEN <br />LEASED <br /> <br />An owner or other interest from whom land has <br />bean lGased by you but only with respect to <br />liability arising out 01 the ownership, maintenance <br />or use of that speolfic part of the land leased to <br /> <br />HJiC'! <br /> <br />Page , of 2 <br />