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POLICY NUMBER:2016-14425NP0 COMMERCIAL GENERAL LIABILITY <br />CG20 120413 <br />ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED -STATE OR GOVERNMENTAL <br />AGENCY OR SUBDIVISION OR POLITICAL <br />SUBDIVISION -PERMITS OR AUTHORIZATIONS <br />This endorsements modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />State Or Governmental Agency Or Subdivision Or Political Subdivision: <br />THE COUNTY OF SAN JOAQUIN,ITS OFFICERS,AGENTS,OFFICIALS, <br />EMPLOYEES,AND VOLUNTEERS ARE NAMED ADDITIONAL INSURED FOR <br />THE "FILL THE BOOT FOR BURNS"BOOT DRIVE ON MARCH 19 &20,2016 AT <br />THE FOLLOWING LOCATIONS.1.THORNTON RD/TURNER RD.2.THORNTON <br />RDIPEL TIER RD.3.THORNTON RDIW ALNUT GROVE RD.FORM CG 20 12 <br />APPLIES <br />Any state or political subdivision that issues a permit or authorization to the named insured. <br />Infonnation required to complete this Schedule,ifuot shown above,will be shown in the Declaratious. <br />Section II -Who Is An Insnred is amended to <br />include as an additional insured any state or <br />governmental agency or subdivision or political <br />subdivision shown in the Schedule,subject to the <br />following provisions: <br />I.This insurance applies only with respectto op- <br />erations perfonned by you or on your hehalf for <br />which the state or political subdivision has issued <br />a permit. <br />However; <br />a.The insurance afforded to such additional <br />insured only applles to the extent perrrritted <br />by law;and <br />b.If coverage provided to dle additional <br />insured is required by a contract or <br />agreement,the insUl'ance afforded to such <br />additional insured will not be boarder than <br />that which you are reqnlred by the contract <br />or agreement to provide for such additioual <br />insured. <br />2.This insurance dose uot apply to: <br />a."Bodily injmy",m,property damage"or ~'per <br />sonal and advertising injury"arising out of <br />operations performed for the federal <br />government,s:tateor municipality;or <br />b."Bodily injwy"or "property damage"inclnded <br />Within the "products-completed operations <br />Haza.rd~l. <br />B.With respect to the iusurance afforded to these <br />additioual insUJ'eds,the following is added to <br />Section In -Limits Of Insurance: <br />If coverage provided to the additioual insured is <br />required by a contract or agreement,the most we <br />will pay on behalf ofthe additional insured is the <br />amount of insurance: <br />1.Required by the contract or agreement;or <br />2.Available under the applicable limits;of <br />Insurance shown in the Declarations; <br />whichever is less. <br />This endorsement shall uot increase the <br />Applicable limits ofInsurauce shown in the <br />Declarations. <br />CG20 12 0413 Copyright,Insurance Services Office,Inc.,1997 Page 1 of1