Laserfiche WebLink
Sep 25 14 01:43p Laura Pereira 209-745-1096 p.3 <br /> POLICY NUMBER: NN496380 COMMERCIAL GENERAL LIABILIT <br /> CG 2011 01 96 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - MANAGERS OR LESSORS OF <br /> PREMISES <br /> This endorsement modes insurance provided underthe following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> 1. Designation of Premises(Part Leased to You): <br /> 26590 N SACRAMENTO BLVD <br /> THORNTON, CA 95686 <br /> 2. Name of Person or Organization(Additional Insured): <br /> COUNTY OF SAN JOAQUIN & ITS BOARD OF SUPERVISORS, <br /> OFFICERS, EMPLOYEES & AGENTS <br /> PO BOX 1810 <br /> STOCKTON, CA 95201 <br /> 3. Additional Premium: <br /> Included <br /> (If no entry appears above,the information required to complete this endorsement will be shown in the Declarations as <br /> applicable to this endorsement.) <br /> WHO IS AN INSURED (Section 11) is amended to include as an insured the person or organization shown in the <br /> Schedule but only with respect to liability arising out of the ownership, maintenance or use of that part of the premises- <br /> leased to you and shown in the Schedule and subject to the following additional exclusions: <br /> This insurance does not apply to: <br /> 1. Any"occurrence"which takes place after you cease to be a tenant in that premises. <br /> 2. Structural alterations,new construction or demolition operations performed by or on behalf of the person or <br /> organization shown in the Schedule. <br /> CG 20 1101 96 Copyright, Insurance Services Office, Inc., 1994 Page 1 of 1 <br /> Received Time Sep, 25, 2014 2:49PM No- 8725 <br />