2019-08-26_REVISION - M2002120

• Permit No: M2002120
• IBM Index Class Name: REVISION
• Doc Date: 8/26/2019
• Doc Name: Decision Date Extension Request
• From: Civil Resources
• To: DRMS
• Type & Sequence: AM1
• Email Name: ECS
• Media Type: D
• Archive: No

Fa:Penny.Vianzon To:CB Minerals Company LLC - 2019/2020 Renewal Cer (13038328106) 15:53 08/26/19 GMT-07 Pg 6-6
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION -
VICARIOUS LIABILITY
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
SCHEDULE
Name Of Additional Insured Person(s)Or Organization(s):
Information required to complete this Schedule, if not shown above,will be shown in the Declarations.
A. Section 11 — Who Is An Insured is amended to "Vicarious liability" as used in this endorsement
include as an additional insured the person(s) or means liability that is imposed on the additional
organization(s) shown in the Schedule, but only insured solely by virtue of its relationship with you,
with respect to liability for "bodily injury", -'property and not due to any act or omission of the additional
damage" or "personal and advertising injury" insured.
caused, in whole, by your acts or omissions or the C. With respect to the insurance afforded to these
acts or omissions of those acting on your behalf: additional insureds, the following is added to
1. In the performance of your ongoing operations, Section III—Limits Of Insurance:
or If coverage provided to the additional insured is
2. In connection with your premises owned by or required by a contract or agreement, the most we
rented to you. will pay on behalf of the additional insured is the
However, the insurance afforded to such additional amount of insurance*
insured only applies to the extent permitted by law. 1. Required by the contract or agreement; or
B. This insurance does not apply to any"bodily injury", 2. Available under the applicable Limits of
"property damage" or "personal and advertising Insurance shown in the Declarations;
injury" resulting from any act or omission by, or whichever is less.
willful misconduct of the additional insured shown in
the Schedule, whether the sole or a contributing This endorsement shall not increase the applicable
cause of the loss. The coverage afforded to the Limits of Insurance shown in the Declarations.
additional insured is limited solely to the additional
insured's "vicarious liability" that is a specific and
direct result of your conduct.
CG7501(10-13) Includes copyrighted material of 150 Properties,Inc.with its permission. Page 1 of 1