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POLICY NUMBER: GL 534-20-18 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 /> 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 /> ANY AND ALL STATE OR POLITICAL SUBDIVISIONS CONTRACTUALLY REQUIRING ADDITIONAL <br /> INSURED STATUS {N 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 a. "Bodily injury", "property damage" or <br /> include as an additional insured any state or "personal and advertising injury" arising <br /> governmental agency or subdivision or political out of operations performed for the <br /> subdivision shown in the Schedule, subject to federal government, state or municipality; <br /> the following provisions: or <br /> 1. This insurance applies only with respect to b. "Bodily injury" or "property damage" <br /> operations performed by you or on your included within the "products-completed <br /> behalf for which the state or governmental operations hazard". <br /> agency or subdivision or political subdivision B. With respect to the insurance afforded to these <br /> has issued a permit or authorization. additional insureds, the following is added to <br /> However: Section III — Limits Of Insurance: <br /> a. The insurance afforded to such additional If coverage provided to the additional insured is <br /> insured only applies to the extent required by a contract or agreement, the most <br /> permitted by law; and we will pay on behalf of the additional insured <br /> b. If coverage provided to the additional is the amount of insurance: <br /> insured is required by a contract or 1. Required by the contract or agreement; or <br /> agreement, the insurance afforded to 2. Available under the applicable limits of <br /> such additional insured will not be insurance; <br /> broader than that which you are required whichever is less. <br /> by the contract or agreement to provide <br /> for such additional insured. This endorsement shall not increase the <br /> 2. This insurance does not apply to: applicable limits of insurance. <br /> CG 20 12 12 19 Insurance Services Office, Inc., 2015 Page 1 of 1 <br /> 648: 9 of 22 <br />