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Policy Number: CA0 0 0 002 771— 2 9 <br />Al 08 76 02 03 <br />T;ffecuve Data: 01 / 13 / 2 015 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br />BLANKET ADDITIONAL INSURED <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABTL17Y COVERAGE PART <br />COil,l lyIERCIAT, PROPERTY COVERAGE PART <br />PROFESSIONAL LIABILITY COVERAGE PART <br />It is hereby declared and agreed that the following chillies are included as Additional Insured(s) hereunder: <br />I) 5ponabr(s). nromotet(s), organizers) (includhtg other eutities having similar interests), of hrsured <br />pyrotechnic even. <br />2) Owner(s) of root property ('or barges) at which insured pyrotechnic events are held. <br />3) Owncr(s), manager(s), tanant(s), mortgagee(s) (including other entities hawing similar interests), <br />of buildings, stadiums, arenas and similef facilities at which insured pyroteelmic events we held. <br />4) The licensing or permitting authority, or other authority having judsdiution, issuing licenses/permits <br />&x insured pyrotechnic events, <br />5) Any other entity for which the Named Insured is contractually obligated to provide insurance such as <br />is afforded by the terms of this policy, <br />but only if such entities are listed as additional insured(s) in a certificate of insnranca issued under the terms OF <br />this endorsement and always subject to the f raitauons or conditions set out in such certificate of insurance. <br />The coverage afforded such Additional Insured(s) docs not apply to injury or damage arising from the failure of any such <br />Additional Insured to fulfill its obligations specified in its contract with the Named Insured. <br />ed by'. <br />RVA ,\,,\,.� <br />S\\ <br />Af 08 76 02 03 V Insurance Services Office, Inc., 2011 Page 1 of 1 11 <br />