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poizioiNUtv1Bm: 2013-144251�T0 +�+�i��vt 2CtAf.G4�T���R�11�.1 <br /> CG 20 26 07,34 <br /> rp't iS-C-M)MR.S1�N01:1 Via' C-11 T��ES lk G�'`t_3��I�;$Te of,14:tA_S iz P rzA ID�^G. <br /> ADDITIONAL l`�SERED - DESIGNATED <br /> PERSON OR ORGANIZATION <br /> This endorsement modifies insurance provided under the following: <br /> COM1 M4 RCIAL GENERAL LIABHX1,y COVE]RAGE 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 effective during the term of this policy.The additional <br /> insured status will not be afforded with respect to liability arising out of or related to your activities as a real <br /> estate manager for that person or organization. <br /> FARMINGTON FIRE DEPARTMENT,THE STATE OF CALIFORNIA <br /> DEPARTMENT OF TRANSPORTATION,AND SAN JOAQUIN DEPARTMENT OF <br /> PUBLIC WORKS,THEIR OFFICERS,AGENTS,OFFICIALS,EMPLOYEES,AND <br /> VOLUNTEERS <br /> FORTHE FARMINGTON BOOT DRIVE ON FEBRUARY 14-17,2014 <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 Schedule,but only with respect to liability for"bodily injury","property 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 your <br /> 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 1 <br />