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POLICY NUMBER: NN393078 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARER.LUr. <br /> CG 201 t b4 96 <br /> ADDITIONAL INSURED-MANAGERS OR LESSORS OF PREMISES <br /> This endorsement modifies insumancq provided under the following: <br /> COMMERCIAL GENERAL LIABIL11 TY COVERAGE PART <br /> SCHEDULE <br /> 1. Designation &Premises(Part Leased.In You): <br /> 18527 E. MAIN STREET <br /> LINDEN, C& 95236 <br /> 2. Name of Person or Organization(Additional Insured): <br /> SAN JQAQUIN COUNTY DEPT. OF PUBLIC WORKS <br /> 1820 E, RMELTON AVMIUE <br /> STOCK-MN, CAL 95205 <br /> 3. Additional Premium: $ <br /> WHO IS AN INSURED (Section 11) is amended to include as an insured the person or organization shown in-the Schedule <br /> but only with respect to liability arising out of the ownership, maintenance or use of that part of the premises leased to you <br /> and shown in the Schedule and subject to the following additional exctusions: <br /> This insurance dcas not apply to: <br /> 1. Any"occurrence"which takes place after you caasB to baa tensrTt in that premises_ <br /> 2. Structural alterations, new coratruction or dearnollition operations perforrnad by or on behalf of the person or <br /> organization shown in the Schaduk,, <br /> CL808(01196) "Inchides copyrighted material of Insurance S6rows 0mce,ire.,yvith ita joarmission.,, <br /> CG 20 11 0196 Copyright Insurance Services office,Im.,1994 <br />