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f <br />POLICY NUMBER: <br />COMMERCIAL GENERAL LIABILITY <br />CG 2013 05 09 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - STATE <br />OR GOVERNMENTAL AGENCY OR SUBDIVISION <br />OR POLITICAL SUBDIVISION - PERMITS <br />OR AUTHORIZATIONS RELATING TO PREMISES <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 />I 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 insured any state or governmental agen- <br />cy or subdivision or political subdivision shown in the <br />Schedule, subject to the following additional provision: <br />This insurance applies only with respect to the follow- <br />ing hazards for which the state or governmental <br />agency or subdivision or political subdivision has <br />issued a permit or authorization in connection with <br />premises you own, rent or control and to which this <br />--insurance applies: - <br />CG 20 13 05 09 <br />1. The existence, maintenance, repair, construction, <br />erection or removal of advertising signs, awnings, <br />canopies, cellar entrances, coal holes, driveways, <br />manholes, marquees, hoist away openings, side- <br />walk vaults, street banners or decorations and <br />similar exposures; or <br />2. The construction, erection or removal of elevators; <br />or <br />3. The ownership, maintenance or use of any eleva- <br />tors covered by-this insurance: " _ - <br />© Insurance Services Office, Inc., 2008 <br />Page 1 of 1 ?