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Insurance <br />Jrp(,wa� ion <br />Liberty <br />Commercial General Liability ( <br />LIBERTY SURPLUS INSURANCE CORPORATION <br />(A Nev I himpslure Scocklnsurancc Comp,,iny, hereinafter the "Cc)rnpany") <br />ENDORSENIENTNO. <br />Effective Date: 05/01/17 - 05/01/18 <br />Policy Number: 100020084302 <br />Issued To: All City Management Services, Inc. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />0 Fffll,7•-NN'tIV -0 �WY,�AXY=,!EFA 4 <br />SCHEDULED PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LI'ABILITY COVERAGE PART <br />614FIf 1� <br />Name Of Additional Insured Petson(s) <br />Or Organization(s) Location(s) Of Coveted Operations <br />------- <br />Any person or organization for whom you are <br />performing operations when you and such person or <br />organization have agreed in writing in a contract or <br />agreement that SUch person or organization be added <br />as an additional insured on your policy; <br />Any other person or organization you are required to <br />add as an additional insured under the contract or <br />agreement described in the paragraph above- <br />AL'locations of covered operations. <br />(Information required to cornplete this Schedule, if not shown above, will be shown in the Declarations) <br />A, Section Il –Who Is An Insured is amended to include as an additional insured the person (s) or organization(s) <br />shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and <br />advertising injury" caused, in whole or in part, by: <br />1. Your acts or on:iissions; or <br />2. The acts or omissions of those acting on your behalf, <br />in the performance o1your ongoing operations for the additional insureds) at the location(s) designated above. <br />E. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: <br />This insurance does not apply to "bodily injury" or "property damage" occurring after: <br />1. All work, including materials, parts or equipment furnished in connection xvith such work, on the project (other <br />than service, maintenance or repairs) to be performed by or on behalf of the additional insureds) at the <br />location of the covered operations has been completed, or <br />MU 2-1 <br />CG 20 10 07 04 <br />C) TSC) properties, Inc., 2004 <br />