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<br />Coxvirnereial General Liability Ca��ircz atitxeap
<br />LIBERTY SURPLUS INSURANCE CORPORATION
<br />1%Ne, MiplAwAsk htr,en... Comlzw+ h inaLes tlt, ( •unr")
<br />EMORSEMENTIF No.
<br />Effective Dane: 0$/f 1/18-05/01/19
<br />Policy Number: 1000200$33-03
<br />Issued To: A€1 City Management Services, Inc.
<br />TFIN ENDORSI-211 'NT CHANGES TFIE POLICY PLEASE READ IT CAREFULLY.,
<br />,fit i71"1 O AI, INSURED —(.)WNERS, LESSEES OR CON'l RAC.."T'O S —
<br />SCHEDULED PERSON OR ORGANIZATION
<br />This endorseuuent modEle•s insuauece provided under the i'oilrrwirvg:
<br />C()ivtMFR(11L GENL1)\A1 HABILITY COVL KAGrL PAIL C
<br />SCHEDULE
<br />Name Of Additional Insured Pers nx(s)
<br />Or -Or", anization(s) Lotauun(&}Of Covexc�cl Ol>crttionb
<br />-i n. pr�soi ail o_zernizu+ion lior whUnr yr,,u nave AU luctttioru of covered operariore.
<br />pc dorrnheK opei arious when you and each, persort or
<br />orgy riznrion have agreed it) wrmittg in a coerrecr or
<br />usxeemeerr runt such Ilcrs el or or .uv)triun be added
<br />as art addinorral insured on your policy;
<br />4nv orirer per>rnn or of h nioerion you ate required to
<br />adders an additional mseired m,der the contract or
<br />agreement described m rile psr,-r;riph above.
<br />tlzrtor:nsatianrequired ro complete This Schudde, TwA dwwo above, wilibe;horn in :he D°c.lanuronri
<br />A, Section II— WIxel Is Aa Insured k aaxended to Melia& as an nd,Ii6ocs;. iosored the person(or urg, nlzntion(wi
<br />>he wn in the Sahednle, (:ant onlg wide respect ro Emig For "bochlt. in.. ae," pmperrp du rage" rzr "percoattl arid.
<br />adv'errrising uyer-y" cauecd, in whole or in prim, byy
<br />1. Your acts or omissions, Of
<br />2. The a, t, oe nnnsvi m e,€those urrin7 nn rohnr belrat4;
<br />in the pedhe once of yo .r toner? c, eeationa for rite addiriar d tn, ued(si rx the location(,) de+lgnated above.
<br />M VIA mgwr to dtc oisuruuc afiordud err these adduional. fnsu> .ds, the fallow tug xidiuor:al exclusions appl,;:
<br />1 hk l.ns,imuce does nor apply to "hod Sy wing, or •propeety dam -re" occtu rtn: aaee:
<br />1. .All wortL Wheiiny ns ue. l , prom m ec{rm me nt furnished m cwtiermt wirh such stork, on the project father
<br />— --�Ilaa senxiee, xnaintewenee or repairs) ro be performed by or oil behsilint rile addvional insured(s) at tire'
<br />Iocamm ,f the owered uperarion; It,,,,, heeu e« rnplete.A or
<br />(XI M l0 0? 0a "e IT 1 Prr,pe cries, Inc., 2WM tV
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