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Named Insured: Koff & Associates, Inc. Policy #57SHAAZ7015 BUSINESS LIABILITY COVERAGE FORM (2) With respect to the Insurance afforded e, Permits Issued By State Or Political to these additional insureds, this Subdivisions insurance does not apply to any (1) Any state or political subdivision, but occurrence" which takes place after only with respect to operations you cease to lease that equipment, _ performed by you or on your behalf for c. Lessors Of Land Or Premises which the state or political subdivision (1) Any person or organization from has issued a permit. whom you lease land or premises, but (2) With respect to the insurance afforded only with respect to liability arising out to these additional Insureds, this of the ownership, maintenance or use insurance does not apply to: of that part of the land or premises (a) "Bodily injury", "property damage" leased to you. or "personal and advertising (2) With respect to the insurance afforded injury" arising out of operations V-1 to these additional insureds, this performed for the stale or insurance does not apply to: municipality; or o (a) Any "occurrence" which takes (b) "Bodily Injury" or "property damage" o place after you cease to lease that Included within the "products - land or be a tenant in that completed operations hazard". premises; or f. Any Other Party M (b) Structural alterations, new (1) Any other person or organization who Ln ry construction or demolition is not an insured under Paragraphs a. 0 o operations performed by or on through a, above, but only with c behalf of such person or organization. respect to liability for "bodily Injury", "Property damage" or "personal and d. Architects, Engineers Or Surveyors advertising injury" caused, in whole or — (1) Any architect, engineer, or surveyor, but In part, by your acts or omissions or only with respect to liability for "bodily the acts or omissions of those acting — injury", "property damage" or "personal on your behalf; and advertising injury" caused, In whole (a) In the performance of your or in part, by your acts or omissions or ongoing operations; the acts or omissions of those acting on (b) In connection with your premises your behalf. owned by or rented to you; or (a) In connection with your premises; (c) In connection with "your work" and — er included within the "products - (b) In the performance of your completed operations hazard", but ongoing operations performed by only if = ® you or on your behalf. (1) (1) The written contract or written (2) With respectto the insurance afforded requires you to to these additional insureds, the Provide such coverage to following additional exclusion applies: such additional insured; and This insurance does not apply to (ii) This Coverage Part providas "bodily injury", "property damage" or coverage for "bodily injury" or personal and advertising injury" "property damage" included arising out of the rendering of or the within the "products- failure to render any professional completed operations hazard". services by or for you, including: (2) With respect to the insurance afforded _ (a) The preparing, approving, or to these additional insureds, this failure to prepare or approve, insurance does not apply to: = maps, shop drawings, opinions, "Bodily injury", "property damage" or = reports, surveys, field orders, change orders, designs or "personal and advertising injury" drawings and specifications; or arising out of the rendering of, or the failure to render, any professional (b) Supervisory, inspection, architectural, engineering or surveying architectural or engineering services, including: activities. Form SS OD 08 04 05 Page 13 of 24