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SUPP (05/04) <br />SUPPLEMENT TO CERTIFICATE OF INSURANCE <br />05, 0/2018 <br />NAME OF INSURED: Teske Street Lighting, Inc. <br />DSA: Tavko Lighting <br />Additional Description of Operations/Remarks from Paae 1: <br />Additional Information: <br />Includes: <br />General Liability: <br />Additional Insured per attached form CGD2460805. <br />Primary Wording per attached form CGD0370405 <br />Per Project Aggregate per attached from CGD4680109. <br />Waiver of Subrogation per attached form CGD45S0713. <br />Automobile Liability: <br />Additional Insured and Waiver of Subrogation per attached form CA'P3530215. <br />Primary Wording per attached form CA00013013. <br />Workers Compensation: <br />Waiver of Subrogation per attached form WC990376 (a). <br />SUPP (05/04) <br />