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i <br /> ' SIGNATURE OF AUTHORIZED REPRESENTATIVE <br /> (Original signature required on <br /> 1 Endorsement furnished to the City) <br /> ORGANIZATION TITLE <br /> ADDRESS TELEPHONE f ) <br /> The following coverage or YES NO <br /> ' conditions are in effect <br /> The City, it's officials, officers, <br /> employees, and volunteers are named <br /> on all liability policies described <br /> above as insureds as respects (a) <br /> Activities performed for the City by, <br /> or on behalf of the named insured, <br /> (b) Products and completed operations <br /> of the Named Insured, and (c) <br /> Premises owned, leased, or used by <br /> named Insured <br /> Products and Completed Operations <br /> The undersigned will mail to the City <br /> 30 day's written notice of cancellation <br /> or reduction of coverage or limits <br /> Cross Liability clause (or equivalent <br /> wording) <br /> ' Personal Injury, Perils A, B, and C <br /> ' Broad form Property Damage <br /> X, C, U Hazards included <br /> iContractual Liability Coverage <br /> applying to this Contract <br /> ' Liquor Liability <br /> Coverage afforded the City, its <br /> officials, officers, employees <br /> and volunteers as Insureds applies <br /> as primary and not excess or <br /> ' August 2001 Division IV-36 Ball Park& Park& Ride Wells Ph 1 <br />