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From'. Stacy Xotla At. Matsook S Assoc FaxID 634505-9266 To: Donna Date6/1512006 11.29 AM Page: 4 of 5 <br />G -134844-A <br />CNA {Ed. 09/99) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />NONCONTRACTOR'S BLANKET ADDITIONAL INSURED ENDORSEMENT <br />This endorsement modifies insurance provided under the following: <br />BUSINESS ACCOUNT PACKAGE POLICY BUSINESSOWNERS LIABILITY COVERAGE FORM <br />BUSINESS ACCOUNT PACKAGE POLICY BUSINESSOWNERS COMMON POLICY CONDITIONS <br />A. WHO IS AN INSURED (Section C. of the (2) This insurance applies only with respect <br />Businessowners Liability Coverage Form) is to operations performed by you or on your <br />amended to include as an insured any person or behalf for which the state or political <br />organization (called additional insured) described in subdivision has issued a permit. <br />paragraphs 2.a. through 2.9. below whom you are This insurance does not apply to "bodily <br />required to add as an additional insured on this policy <br />under: injury,' "properly damage" or "personal and <br />advertising injury" arising out of operations <br />1. A written contract or agreement; or performed for the state or municipality. <br />2. An oral contract or agreement where a certificate <br />of insurance showing that person or organization <br />as an additional insured has been issued; but <br />the written or oral contract or agreement must be: <br />1. Currently in elect or becoming effective during the <br />term of this policy; or <br />2. Executed prior to the "bodily injury," "property <br />damage" or "personal injury and advertising <br />injury," but <br />Only the following persons or organizations are <br />additional insureds under this endorsement and <br />coverage provided to such additional insureds is <br />limited as provided herein: <br />a. A state or political subdivision subject to the <br />following provisions: <br />(1) This insurance applies only with respect <br />to the following hazards for which the <br />state or political subdivision has issued a <br />permit in connection with premises you <br />own, rent, or control and to which this <br />insurance applies: <br />(a) The existence, maintenance, repair, <br />construction, erection, or removal of <br />advertising signs, awnings, canopies, <br />cellar entrances, coal holes, <br />driveways, manholes, marquees, <br />hoistaway openings, sidewalk vaults, <br />street banners, or decorations and <br />similar exposures; or <br />b. Any persons or organizations with a <br />controlling interest in you but only with respect <br />to their liability arising out of: <br />(1) Their financial control of you; or <br />(2) Premises they own, maintain or control <br />while you lease or occupy these <br />premises. <br />This insurance does not apply to structural <br />alterations, new construction and demolition <br />operations performed by or for such additional <br />insured. <br />C. A manager or lessor of premises but only with <br />respect to liability arising out of the ownership, <br />maintenance or use of that specific part of the <br />premises leased to you and subject to the <br />following additional exclusions: <br />This insurance does not apply to: <br />(1) Any "occurrence" which takes place after <br />you cease to be a tenant in that premises; <br />or <br />(2) Structural alterations, new construction or <br />demolition operations performed by or on <br />behalf of such additional insured. <br />d. A mortgagee, assignee or receivar but only <br />with respect to their liability as mortgagee, <br />assignee, or receiver and arising out of the <br />ownership, maintenance, or use of a premises <br />by you. <br />(b) The construction, erection, or This insurance does not apply to structural <br />removal of elevators; or alterations, new construction or demolition <br />operations performed by or for such additional <br />(c) The ownership, maintenance, or use insured. <br />of any elevators covered by this <br />insurance. ^ : _' 'J'e'L AS TCJ•F01 or or other interest from whom land <br />ftasn leased by you but only with respect <br />to liability arising out of the ownership, <br />G -134844-A° ' I `1 Page 1 of 2 <br />(Ed. 09/99) A...,:stant t ity Attorney <br />