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Jan 28 13 03:38p Thornton Fire District 2097942946 p.5 <br /> POLICY NUMJBER: 2012-14425NPO CO1vrnMRCIAL GENERAL LIABILITY <br /> CG 20 12 07 98 <br /> ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. <br /> ADDITIONAL.INSURED - <br /> STATE OR POLITICAL SUBDIVISIONS - PERMITS <br /> This endorsements modifies insurance provided unties the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> State Or Political Subdivision: <br /> THE COUNTY OF SAN JOAQUIN,ITS OFFICERS,AGENTS,OFFICIALS,EMPLOYEES,AND <br /> VOLUNTEERS ARE NAMED ADDITIONAL INSURED FOR THE THORNTON FILL THE BOOT FOR <br /> BURNS BOOT DRIVE EVENT FROM FEBRUARY 23-24,2013 AT THE FOLLOWING LOCATIONS: <br /> 1. THORNTON RD/TURNER RD <br /> 2- THORNTON RD!PELT1ER RD; <br /> 3.THORNTON RD 1 WALNUT GROVE RD. <br /> (if no entry appears above;information to complete this endorsement will be shown in the declarations as applicable to this <br /> endorsement,) <br /> Section H-Who k Aa Insured is amended to 2.This insurance dose not apply to: <br /> included as an hisured any state or political subdivi a."Bodily injmy,""property damage"or"per <br /> cion shown in Schedule,to the following so"and advertising injury"arising out of <br /> provisions: operations performed for the state or munici- <br /> 1.T13is insurance applies only with respect to op- Pality;or <br /> erasions performed by your or on your behalf for b."Bodily inj ury'or"property damage"included <br /> which the state or political subdivision bas issued 'Within the"products-completed operations <br /> a permit. H ". <br /> CG 2012 07 99 Copyright;Insurance Services Office,Inc., 1997 Page 1 of 1 <br />