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ADDITIONAL INSURED ENDORSEMENT <br />FOR COMMERCIAL GENERAL LIABILITY POLICY <br />Insurance Company LLOYD'S of LONDON (AM Best Rating A IS) <br />This endorsement modifies such insurance as is afforded by the provisions <br />of policy # QME 001379 relating to the following: <br />1. ThO Ciryof MAVI , Od *0 0WQf'8aools Aav, bo d u� C tvlo <br />CWWPhS& Saa M AW, %701; and i2.sistes;P11Qd 4 0 1 . <br />• vdunterss and t'epr iv+a &W "AMW ate addttioaat hslueft (kaddtdl <br />inert NW) with rqpd to sWk *4 Maw of aulta 84ins ka the operations W <br />UM Ncha od by or an bdW*fdte a mcd havm& <br />L Wbh F b aLo= WWns out nfft oyQOtiM and UW PgftWn d by <br />cc m b"ofmo nuW kw r4 ands tuWaaoe Isis by pa, potsoy to Vbwy <br />sad Is not Wdidansl to or conttiWdgS j tb any '0dWi=t VW4 0W&d by or fbr to <br />beasfit Otte addlifatal awa vIL <br />3. This i nns a e mery to e";,.M ed assitgt V,►b= abia ft <br />made or atdt is b"M* =0Vt Q*1*WW to on oohs MVb oilb6hiW. MW <br />W W m ot'any pemo n or wpaimmiaR as m faouc0 sW rM s~fl M Wy d& aitioh sob <br />PMW or otrgsnit 2*W would hm ss a dAmnt Woo = Wwied <br />4. 'iiVith tro4 "tin the add;foW k%vusds, tars kwom dta zW be <br />tanodw. or nwalaly todoced In cavWV or a w try 00 do" r <br />nodes has born 81ven w tiro Gouty R+odaveiopmdgt A$muy of ft try of9atx►ta <br />Ank 20 Clvta C,mw Pl= (M45 5amts Ann CWi&n& 92741 <br />(ComPetlm of tlw following, inch couobM*Ntara, is v quw to tatdZ this <br />stadokantat offadtir.) <br />Effective 41 -10- 2009 this endorsement form as a part of <br />Policy# OME001379 <br />Issued to —BELL BUILDING MAINTENANCE, CO. <br />Named Insured <br />c <br />Countersigned by <br />Authorized Representative <br />