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POLICY NUMBER: COMM ERCIAL GENER AL LIABILITY CG 20 12 12 19 <br /> <br />THIS ENDORSEMENT CH ANGES THE POLICY. PLE ASE RE AD IT CAREFULLY. <br /> ADDITION AL INSURED – STATE OR GOVERNMENT AL <br />AG ENCY OR SUBDIVISION OR POLITIC AL <br />SUBDIVISION – PERMITS OR AUTHORIZATIONS <br />This endorsem ent m odifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br />SCHEDULE <br /> <br />State Or Governmental Agency Or Subdivision Or Political Subdivision: <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Inform ation required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section II – Who Is An Insured is am ended to <br />include as an additional insured an y state or <br />governm ental agenc y or subdivision or political <br />subdivision shown in the Schedule, subject to the <br />following provisions: <br />1. This insurance applies only with respect to <br />operations perform ed b y you or on your behalf <br />for which the state or governm ental agenc y or <br />subdivision or political subdivision has issued a <br />perm it or authorization. <br />However: <br />a. T he insurance afforded to such additional <br />insured only applies to the extent perm itted <br />by law; and <br />b. If coverage provided to the additional <br />insured is required b y a contract or <br />agreem ent, the insurance afforded to such <br />additional insured will not be broader than <br />that which you are required by the contract <br />or agreem ent to provide for such additional <br />insured. <br />2. This insurance does not apply to: <br />a. "Bodily injury", "property damage" or <br />"personal and advertising injury" arising out <br />of operations perform ed for the federal <br />governm ent, state or m unicipalit y; or <br />b. "Bodily injur y" or "property damage" <br />included within the "products-com pleted <br />operations hazard". <br />B. W ith respect to the insurance afforded to these <br />additional insureds, the following is added to <br />Section III – Limits Of Insurance: <br />If coverage provided to the additional insured is <br />required b y a contract or agreem ent, the most we <br />will pa y on behalf of the additional insured is the <br />am ount of insurance: <br />1. Required by the contract or agreem ent; or <br />2. Available under the applicable lim its of <br />insurance; <br />whichever is less. <br />This endorsem ent shall not increase the <br />applicable lim its of insurance. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />CG 20 12 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 <br />Where required by written contract. <br />54309877 <br />Docusign Envelope ID: 3254F026-A447-4BC0-939B-3E5589DD3A37