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Policy Number: VCGP033343 CG 20 12 12 19 <br /> Insured Name: Loengreen Inc <br /> Number: Effective Date:01/1412025 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - STATE OR GOVERNMENTAL <br /> AGENCY OR SUBDIVISION OR POLITICAL <br /> SUBDIVISION - PERMITS OR AUTHORIZATIONS <br /> This endorsement modifies insurance provided under the following: <br /> Commercial General Liability Coverage Part <br /> Schedule <br /> State Or Governmental Agency Or Subdivision Or Political Subdivision: <br /> Any qualifying entity when you have agreed in a written and executed contract, prior to an <br /> "occurrence",that such qualifying entity be added as an additional insured on your policy <br /> Information required to complete this Schedule, if not shown above,will be shown in the Declarations. <br /> A. Section II—Who Is An Insured is amended to 2. This insurance does not apply to: <br /> include as an additional insured any.state or <br /> governmental agency or subdivision or political a. 'Bodily injury", "property damage" or <br /> subdivision shown in the Schedule, subject to "personal and advertising injury" arising <br /> the following provisions: out of operations performed for the <br /> 1. This insurance applies only with federal government, state or respect to municipality; or <br /> operations performed by you or on your <br /> behalf.for which the state or governmental b. 'Bodily injury" or "property damage" <br /> agency or.subdivision or political subdivision included within the "products-completed <br /> has issued a permit or authorization. operations hazard". <br /> However: B. With respect to the insurance afforded to these <br /> a. The insurance afforded to such additional additional insureds, the following is added to <br /> insured only applies to the extent <br /> Section III—Limits Of Insurance: <br /> permitted by law; and If coverage provided to the additional insured is <br /> b. if coverage provided to the additional required by a contract or agreement, the most <br /> insured is required by a contract or we will pay on behalf of the additional insured is <br /> agreement, the insurance afforded to <br /> the amount of insurance: <br /> such additional insured will not be 1. Required by the contract or agreement; or <br /> broader than that which you are required 2. Available under the applicable limits of <br /> by the contract or agreement to provide insurance; <br /> for such additional insured. whichever is less. <br /> This endorsement shall not increase the <br /> applicable limits of insurance. <br /> CG 20 12 12 19 0 Insurance Services Office, Inc., 2018 Page 1 of 2 <br />