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<br />- <br />- <br /> <br />, <br />,- <br />, <br /> <br />- <br /> <br />- <br />- <br />- <br />- <br /> <br />- <br />- <br />:::::; <br /> <br />- <br />- <br />- <br />- <br />:::::; <br /> <br />- <br />- <br />- <br />- <br />- <br /> <br />I055U <br /> <br />POLICY NUMBER: X-GGO-818X4872-TIL-.05 _ <br /> <br />COM,.._.~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 following: <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 />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 actlv~les or ac- <br />tivities they perform on your behalf; <br /> <br />8. Your trustees or members of the board of gover- <br />nors while acting within the scope of their duties <br />as such on 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 />L::'?PROVED AS TO FO:"31 <br />r51Y6< <br /> <br />liSA E. STORCI< <br />Assistant City Attorney <br /> <br />f! of- 3J <br /> <br />GN 01 88 01 96 <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 />tlon(s}; or <br /> <br />(b) Any "occurrence" which takes place after <br />you cease to be a tenant In that <br />premises. <br /> <br />Copyright, Travelers Indemnity Company. <br /> <br />Page 1 of 1 <br />