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AIM-A <br /> Association Insurance Management <br /> POLICY NUMBER: TBD-GUAM <br /> COMMERCIAL GENERAL LIABILITY <br /> CG 20 26 OT 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 I_IA$ILITY COVERAGE PART <br /> SCHEDULE <br /> Name Of Additional insured Person(s)Or Organization(s) <br /> Effective 11/21/09 County of San Joaquin,Dept of Public Works,is added as an additional insured foronly review <br /> enamchment permit:closure of Ben Hort Dr.from Pershing Ave to Alexandria PI for Lincoln High School Band Review Nov 21 respects band 2D09.Parade route. <br /> Lincoln Rd,Leesburg,Ben Holt,Harrisburg <br /> Information required to complete this Schedule,if not shown above,will be shown in the Declarations. <br /> Section II-Who Is An Insured is amended to in- <br /> clude as an additional insured the person(s)or organi- <br /> zations)shown in the Schedule,but only with respect <br /> to liability for"bodily injury","property damage'or <br /> °personal and advertising injury"caused,in whole or in <br /> part,by your acts or omissions or the acts or omis- <br /> sions of those acting on your behalf- <br /> A.In the performance of your ongoing operations;or <br /> S.In connection with your premises owned by or <br /> rented by you. <br /> CG 20 26 07 04 Page 2 of 2 <br /> 0 ISO Properties.Inc..200E <br /> AIM • Dallas, Texas • (800) 876-4044 • Fax (214) 360-0802 <br /> ..ran.,nirr, nrmr�.s nine ��m <br />