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POLICY NUMBER:2011-14425NPO COMMERCIAL GENERAL LIABILITY <br /> CG 20 26 07 04 <br /> ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - DESIGNATED <br /> PERSONS OR ORGANIZATION <br /> This enlorsement modifies insurance provided under the.following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> Name Of Additional Insured Person(s)Or Organization(s) <br /> Any person or organization that you are required to add as an additional insured on this policy,under a written <br /> contract or agreement currently in effect,or becoming effeptive during the term or this policy,and for which a <br /> certificate of insurance naming such person or organization as additional insured has been issued,but only respect <br /> to their liability arising out of their requirements for certain performance placed upon you,as a nonprofit <br /> organization,in consideration for funding or financial contributions you receive from them.The additional insured <br /> status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager <br /> for that person or organization. <br /> WOODBRIDGE FIRE DISTRICT, ITS OFFICERS, <br /> AGENTS, OFFICIALS, EMPLOYEES & VOLUNTEERS <br /> FOR THE BOOT DRIVE BEING HELD ON MAY 6,2012 <br /> AT THE INTERSECTION OF MOKELUMNE ST AND LOWER <br /> SACRAMENTO ROAD IN WOODBRIDGE, CA <br /> Information required to complete this Schedule,if not shown above,will be shown in the Declarations. <br /> Section H-Who Is An Insured is amended to included as an additional insured the person(s)or organization(s) <br /> shown in the Sched•-de,but only with respect t'--bility for"bodily injury","nroperty damage"or"personal and <br /> advertising injury"caused,in whole or in part,by your acts or omissions or the acts or omissions of those acting on <br /> your behalf: <br /> A.In the performance of your ongoing operations;or <br /> B.In connection with your premises owned by or rented to you. <br /> CG 20 26 07 04 Copyright,insurance Services Office,Inc., 1997 Page 1 of i <br />