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POLICY NUMBER: <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />State Or Governmental Agency Or Subdivision Or Political Subdivision: <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 12 12 19 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - STATE OR GOVERNMENTAL <br />AGENCY OR SUBDIVISION OR POLITICAL <br />SUBDIVISION - PERMITS OR AUTHORIZATIONS <br />GL 534-20-18 <br />ANY AND ALL STATE OR POLITICAL SUBDIVISIONS CONTRACTUALLY REQUIRING ADDITIONAL <br />INSURED STATUS IN CONNECTION WITH ISSUANCE OF PERMITS TO YOU, RELATING TO <br />PREMISES. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section II – Who Is An Insured is amended to <br />include as an additional insured any state or <br />governmental agency or subdivision or political <br />subdivision shown in the Schedule, subject to <br />the following provisions: <br />1.This insurance applies only with respect to <br />operations performed by you or on your <br />behalf for which the state or governmental <br />agency or subdivision or political subdivision <br />has issued a permit or authorization. <br />However: <br />a.The insurance afforded to such additional <br />insured only applies to the extent <br />permitted by law; and <br />b.If coverage provided to the additional <br />insured is required by a contract or <br />agreement, the insurance afforded to <br />such additional insured will not be <br />broader than that which you are required <br />by the contract or agreement to provide <br />for such additional insured. <br />2.This insurance does not apply to: <br />a."Bodily injury", "property damage" or <br />"personal and advertising injury" arising <br />out of operations performed for the <br />federal government, state or municipality; <br />or <br />b."Bodily injury" or "property damage" <br />included within the "products-completed <br />operations hazard". <br />B.With 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 by a contract or agreement, the most <br />we will pay on behalf of the additional insured <br />is the amount of insurance: <br />1.Required by the contract or agreement; or <br />2.Available under the applicable limits of <br />insurance; <br />whichever is less. <br />This endorsement shall not increase the <br />applicable limits of insurance. <br />CG 20 12 12 19 Page ofInsurance Services Office, Inc., 2018 1 1 <br />DocuSign Envelope ID: 54DD5724-2CAB-4092-8CE2-CBE2FBB10210