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POLICY NUMBER: COMMERCIAL GENERAL LIABILITY <br />CG 2012 05 09 <br />THIS 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 endorsement 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 />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />Section 11 — Who Is An Insured is amended to in- <br />clude as an insured any state or governmental agen- <br />cy or subdivision or political subdivision shown in the <br />Schedule, subject to the following provisions: <br />1. This insurance applies only with respect to opera- <br />tions performed by you or on your behalf for which <br />the state or governmental agency or subdivision or <br />political subdivision has issued a permit or autho- <br />rization. <br />2. This insurance does not apply to: <br />a. "Bodily injury", "property damage" or "personal <br />and advertising injury" arising out of operations <br />performed for the federal government, state or <br />municipality, or <br />b. "Bodily injury" or "property damage" included <br />within the "products - completed operations ha- <br />zard". <br />CG 2012 06 09 0 Insurance Services Office, Inc., 2008 Page 1 of 1 ❑ <br />