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Docusign Envelope ID: 3254F026-A447-4BC0-939B-3E5589DD3A37 <br />❑❑❑®❑ ❑❑M❑❑R1154309877 <br />COMMERCIAL GENERAL LIABILITY 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 />■ ■III ■■• ■ ■■■ NOON ■. IIIII■ 111■■ NOON ■ ■■Ci ■• • ■ ■�■ 1111111■ 111■■ <br />❑❑MM❑R❑®❑❑FIE ❑R❑❑❑U❑UEE❑ ❑❑❑❑R❑❑❑ ❑❑R, <br />SCHEDULE <br />State Or Governmental Agency Or Subdivision Or Political Subdivision: <br />Where required by written contract. <br />111111 ■ ■1111■ ■■■fi■• 111 ■■■ ■111111 111111 ■ ■■■• ■III■III■■■■■■■ ■ NOON■■■ IIII■■ NOON ■III 111■ � ■■III ■1111■■■ <br />A. Section II — Who Is An Insured [E] ❑❑ ❑❑d❑d 57 <br />®❑II]d❑ ❑❑ Fill ❑ddUT❑❑❑ [EI❑-r❑d ❑❑❑ 1111)7 ❑r <br />❑❑m 1111 ❑❑FFI❑ ❑1111❑❑❑ Cr m❑d ❑ [Ir 111 El <br />m❑d ❑ m❑❑ ❑ ® LL11❑ ❑ m❑d ❑1E1❑ m❑®m LLL1 ®❑ <br />AMM❑ ILI❑ J11 [IF[-] <br />1. ❑❑® [EImr❑❑m ❑❑❑MM❑ ❑❑® ❑® r❑m❑m LILI <br />❑❑❑r❑m❑❑ ❑a-LEr❑ ❑d ❑❑ m❑ ❑" ❑❑ ma- ❑❑❑❑ILI <br />E[Or ❑ ❑mD ®❑ F-FMm] ❑r ❑❑mr❑❑ ❑❑[ITI❑❑❑❑❑❑❑ Or <br />m❑d ®❑ ❑- ❑❑ ❑d m❑❑ID❑ ❑❑❑ =Jd ❑ <br />❑a-❑ mIr ❑❑tea-=®❑❑ <br />❑❑❑❑❑a❑ <br />a. ❑❑❑ 117mr❑❑m ❑m❑rd ❑d LLLI mm ❑dd ®❑❑❑ <br />m7❑a ❑d Lill® ❑❑❑®❑ ® LLLI❑ ❑m7❑❑❑a-❑ ®d <br />❑❑ ®❑ ❑❑❑d <br />b. LILI m❑a ❑❑❑ a-❑❑[d❑d LLLI =❑ ❑dd ®❑❑❑ <br />®m ❑d 117 r❑❑❑©❑d ❑❑ ❑ m❑T❑m ❑r <br />❑❑r❑❑❑ ❑❑FFI®❑ U❑Er❑❑m ❑mTIrd❑d Ell mm <br />❑dd ®1111❑ m7❑-ir❑d ❑ m 1111❑ 1111 Eirlilidlir n❑❑ <br />mID❑ ❑ ❑® m❑ a-❑ r❑❑❑©❑d ❑❑ ®❑ m❑1fl❑m <br />a• ❑a-❑❑❑ ❑❑❑m7 a ❑❑d ❑ m]- mm ❑dd ®❑❑❑ <br />[E]EEr ❑d ❑ <br />2. 1111® ®❑-Ir❑❑m dill][] ❑❑❑❑❑❑® ®❑ <br />a. "❑❑dm ®ml -d'❑ "❑r❑❑❑-® d❑❑ ❑❑LI' ❑r <br />"❑Firm❑❑❑❑❑d ❑dm®❑ ®El -d' ❑-®❑ ❑❑❑ <br />1111 ❑❑EI❑®1111 ❑❑rte ❑ ❑d 1111- ®❑ ®d ❑r❑❑ <br />❑❑m 1111 ❑❑®® ❑- ❑ ❑❑❑ Ll <br />b. "❑ lid m ®mrd' a. "a❑❑❑r® d❑❑ ❑❑V' <br />[LI❑ -id ❑d ❑ ME] LLLI❑ "o -Lid ❑==Ll ❑m7mud <br />❑❑D,❑m❑❑ 1111❑❑ d"❑ <br />B. ❑ ® r❑m❑m ® ®❑ 1E1m ❑❑m ❑=-d ❑d ® ®❑m <br />❑dd ®❑❑❑ ®❑a ❑d m ®❑ ®®❑ [EI❑ 117 ❑dd ❑d Ell <br />Section III — Limits Of Insurance: <br />[IT] m❑1❑❑❑ a ❑11d ❑d ® ®❑ ❑dd ®1111❑ m7❑ --❑d m] <br />r❑❑❑©❑d ❑❑ ❑ m❑T❑ma ❑a ❑❑❑ ❑❑®®❑ ❑ ❑m❑❑ <br />❑ ®1111❑ ❑❑ 1111❑❑®1111 ®❑ lid ®❑❑❑®m ❑d m7 m7❑ <br />❑❑ ❑❑❑m❑m7❑-r❑❑m❑ <br />1. R❑❑❑©❑d IT] [TO m❑®❑❑Zr ❑a-❑❑❑ ❑❑ETr <br />2. ❑ m®❑m7 ❑❑d Lir ®❑ ❑❑❑®❑[E] = In ❑❑ <br />m7❑a ❑❑m❑ <br />■ ■111■■■■ 111 111■■■ <br />00111 ■■. ■ ■■■ ■■■ ■■■Ill ■■■ 111E NONE 111■ <br />■■■11111■■111 11111 IIII ■■III■■ NOON■ <br />CG 20 12 12 19 11 1111❑a ❑❑m ❑ar❑❑D❑ ❑ =FF1fl=11D❑8 Page 1 of 1 <br />