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POLICY NUMBER: 2014-14425NPO COMMERCIAL GENERAL LIABILITY <br /> CG 20 26 07 04 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - DESIGNATED <br /> PERSON OR ORGANIZATION <br /> This endorsement 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 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 ARE NAMED ADDITIONAL INSURED REGARDING THE <br /> FARMINGTON BOOT DRIVE AT HIGHWAY 4 AND ESCALON-BELLOTA ON <br /> FEBRUARY 13-16,2015. <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 />