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Policy Number T132-681-004088-755 <br /> Issued by Liberty Mutual Fire Insurance Co, <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> OTHER INSURANCE AMENDMENT—SCHEDULED ADDITIONAL INSURED <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> PROD UCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART <br /> LIQUOR LIABILITY COVERAGE PART <br /> If you are obligated under a written agreement to provide liability insurance on a primary, excess,contingent, or any <br /> other basis for any person(s) or organization(s) shown in the Schedule of this endorsement that qualifies as an <br /> additional insured on this Policy, this Policy will apply solely on the basis required by such written agreement and <br /> Paragraph 4. Other Insurance of Section IV—Conditions will not apply. Where the applicable written agreement <br /> does not specify on what basis the liability insurance will apply, the provisions of Paragraph 4. Other Insurance of <br /> Section IV-- Conditions will apply. However, this insurance is excess over any other insurance available to the <br /> additional insured for which it is also covered as an additional insured for the same"occurrence", claim or"suit". <br /> Schedule <br /> Name of Person(s) or Organ ization(s): <br /> City of Huntington Beach Its Officers, Elected or Appointed Officials, Employees,Agents and Volunteers <br /> The Regents of the University of California <br /> U.S. Government <br /> Any person or organization that qualifies as an Additional Insured as required under a written contract or agreement. <br /> City of Brentwood,CA <br /> LC 24 20 1118 ©2018 Liberty Mutual Insurance Page 1 of 1 <br /> Includes copyrighted material of Insurance Services Office, Inc.,with its permission. <br />