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<br />POLICY NUMBER: X-660-818X4872-TIL-.05 . <br /> <br />COMh._,~CIAL GENERAL LIABILITY <br />ISSUE DATE:. 12/14195 <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />CHARITY FIRST -AMENDMENT OF COVERAGE- <br />WHO IS AN INSURED <br /> <br />This endorsement modifies insurance provided under the foilowing: <br />COMMERCIAL GENERAL LIABiLITY COVERAGE PART <br /> <br />SCHEDULE <br /> <br />Name Of Person Or Organization (Additional Insured): <br />BLANKET - PER POLICY FORM ~ PER CONTRACT WITH INSURED <br /> <br />Designation Of Premises (Part Leased to You) <br /> <br />~ <br />~ <br /> <br />~- <br />-- <br /> <br />0:= <br /> <br />WHO IS AN INSURED (Section II) is amended to <br />include as an insured: <br /> <br />A. Your members and volunteers but only with <br />respect to their liability for your activities or ac. <br />tivities they perform on your behalf; <br /> <br />B. Your trustees or members of the board of gover. <br />nors while acting within the scope of their duties <br />as suchon your behalf; and <br /> <br />C. Person(s) or organization(s), whether or not <br />shown in the Schedule above, but only with <br />respect to their liability arising out of: <br /> <br />1. Their financial control over you; <br /> <br />2. Their requirements for certain performance <br />placed upon you, as a non-profit organiza- <br /> <br />0:= <br /> <br />- <br />"= <br />.= <br />- <br />0:= <br /> <br />- <br />.- <br />- <br />- <br />- <br />0:= <br /> <br />- <br />"= <br />0:= <br />0:= <br />- <br />- <br />"=: <br />. <br /> <br />tion, In consideration for funding or financial <br />contributions you receive from them; <br /> <br />3. The ownership, maintenance or use of that <br />part of a premises leased to you; or <br /> <br />4. "Your work" for that insured by or for you. <br /> <br />As respects Part C.3. above, this insurance does <br />not apply to: <br /> <br />(a) Structural alterations, new construction <br />or demolition operations performed by <br />or on behalf of the person(s) or organiza- <br />tion(s}; or <br /> <br />(b) Any "occurrence" which takes place after <br />you cease to be a tenant In that <br />premises. <br /> <br />E?PROVED AS TO FO:".l <br />r51~ <br /> <br />LISA E. STORCI\ <br />Assistant City Attom~y <br /> <br />f! or3J <br /> <br />GN 01 88 01 96 <br /> <br />Copyright, Travelers Indemnity Company. <br /> <br />Page 1 of 1 <br /> <br />005564 <br />