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BUSINESSOWNERS <br />PB 60 04 04 11 <br />THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED –SERVICES PERFORMED ON <br />PREMISES OF ADDITIONAL INSURED <br />This endorsement modifies insurance provided under the following: <br />PREMIER BUSINESSOWNERS LIABILITY COVERAGE FORM <br />in the Schedule of this endorsement onA.The following is added to Section II.WHO IS AN <br />premises owned,leased,maintained or used byINSURED: <br />such person or organization.The person or organization designated in the <br />B.ADDITIONAL EXCLUSIONScheduleofthisendorsementisalsoan <br />insured,but only with respect to their liability for This insurance,including our duty to defend <br />“bodily injury”or “property damage”caused,in “suits”,does not apply to “bodily injury”, <br />whole or in part,by your acts or omissions or the “property damage”or “personal and advertising <br />acts or omissions of those acting on your behalf injury”arising out of any active negligence of the <br />in connection with acts or services normal and person or organization designated in the <br />usual to your business described in the Schedule of this endorsement. <br />Declarations,performed by you or on your <br />behalf for the person or organization designated <br />All terms and conditions of this policy apply unless modified by this endorsement. <br />SCHEDULE <br />Name of Person or Organization: <br />CITY OF PLEASANTON,ITS OFFICERS,EMPLOYEES AND <br />AGENT <br />PO BOX 520 <br />PLEASANTON CA 945660802 <br />PB 60 04 04 11 Page 1 of 1 <br />ACP BPO 3029987208 INSURED COPY 47 01450 <br />DocuSign Envelope ID: 83DE0E88-B542-4DC1-9904-A642BC0A2C68DocuSign Envelope ID: 2F3AC627-2021-49BC-ACB6-F32F4BC0AB43