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<br />AD 68 93 02 25 Includes copyrighted material of Insurance Services Of-fice, Inc., <br />with its permission. <br />Page 16 of 17  <br /> <br />OR POLITICAL SUBDIVISION – PERMITS OR AUTHORIZATIONS <br />(INSURANCE SERVICES OFFICE ENDORSEMENT CG 20 12 04 13) <br />SCHEDULE <br />State Or Governmental Agency Or Subdivision Or Political Subdivision: <br />Any state or governmental agency or subdivision or political subdivision that has issued a permit or <br />authorization for operations performed by you or on your behalf. <br /> <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. SecƟon II – Who Is An Insured is amended to include as an addiƟonal insured any state or <br />governmental agency or subdivision or poliƟcal subdivision shown in the Schedule, subject to the <br />following provisions: <br />1. This insurance applies only with respect to operaƟons performed by you or on your behalf for <br />which the state or governmental agency or subdivision or poliƟcal subdivision has issued a <br />permit or authorizaƟon. <br />However: <br />a. The insurance afforded to such addiƟonal insured only applies to the extent permiƩed by <br />law; and <br />b. If coverage provided to the addiƟonal insured is required by a contract or agreement, the <br />insurance afforded to such addiƟonal insured will not be broader than that which you are <br />required by the contract or agreement to provide for such addiƟonal insured. <br />2. This insurance does not apply to: <br />a. "Bodily injury", "property damage" or "personal and adver Ɵsing injury" arising out of <br />operaƟons performed for the federal government, state or municipality; or <br />b. "Bodily injury" or "property damage" included within the "products-completed operaƟons <br />hazard". <br />B. With respect to the insurance afforded to these addiƟonal insureds, the following is added to <br />SecƟon III – Limits Of Insurance: <br />If coverage provided to the addiƟonal insured is required by a contract or agreement, the most we <br />will pay on behalf of the addiƟonal insured is the amount of insurance: <br />1. Required by the contract or agreement; or <br />2. Available under the applicable Limits of Insurance shown in the DeclaraƟons; <br />whichever is less. <br />Docusign Envelope ID: 78C55661-B07C-4B6F-B4F4-1EE3C7F041CE