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t <br />Mitsui Sumitomo Insurance Group <br />THIS ENDO RSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED -STATE OR POLITICAL <br />SUBDIVISION-OPERATIONS PERFORMED BY OR <br />FOR THE NAMED INSURED <br />This endorsement modifies Insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />Section 11 - Who Is An Insured is amended to behalf for the state or political subdivision; <br />include as an insured any state or political or <br />subdivision shown in the Schedule, but only <br />with respect to: 2 "Bodily injury" or "property damage" included <br />within the "products-completed operations <br />1. "Bodily injury," "property damage" or hazard." <br />"personal and advertising injury" arising out <br />of operations performed by you or on your <br />SCHEDULE <br />State or Political Subdivision <br />MUNICIPALITY-BLANKET COVERAGE WHERE REQUIRED BY CONTRACT <br />FOR <br />WORK PERFORMED ON BEHALF OF A MUNICIPALITY. <br />CITY OF SANTA ANA, CA <br />CITY AND COUNTY OF SAN FRANCISCO, ITS OFFICERS, EMPLOYEES <br />AND AGENTS <br />THE CITY OF SAN MATEO, ITS ELECTED AND APPOINTED OFFICERS, <br />EMPLOYEES & AGENTS <br />All other terms and conditions remain unchanged. AppROVEi) AS TO FORM <br />Laura Stab Z)&;-dy <br />rWssistant City ALLorney <br />MS 6425 03 05 Page 1 of 1 <br />UNDERWRITING COPY