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POLICY NUMBER:RGL-724839M COMMERCIAL GENERAL LLABII-rrY <br /> CG 20 12 04 13 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REA�l 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: city of Centarville Minnesota <br /> Only with respect to the Anoka cc RadiolEmergency Service's negligence during the Hellomen Special Ev&M station being hold at <br /> Lauds Lemofte Park,6070 Lamotte Dr.,CudwvIlle,MN 55039 on 10312017. <br /> A. Section 11 —Who Is An Insured is amended to include .This insurance does not apply to: <br /> as an additional Insured any to or governmental a. OBodily injury', mproperly damag6m or "personal <br /> agency or subdivision or political subdivision shown in <br /> the and advertising injury" arising out of operations <br /> Schedule,subject to the following provisions: performed for the federal government, state or <br /> 1® T ' insurance applies only with respect to municipality,or <br /> operations performed by you or on your behalf for b. "Bodily injury" or Rproperty damage" included <br /> which the state or governmental agency or within the "products-completed operations <br /> subdivision or political subdivision has issued ii hazard". <br /> permit or authorization. <br /> However: B. With respect to the insurance afforded to these <br /> additional insureds, the following is added to Section III <br /> a. The Insurance afforded to such additional insured —Limits Of Insurance: <br /> only applies to the extent permitted by low;and If coverage provided to the additional insured is required <br /> b. If coverage provided to the additional insured is by a contract or agreement, the most we will pay on <br /> required by a contract or agreement, the behalf of the additional insured is the amount of <br /> insurance afforded to such additional Insured will insurance: <br /> not be broader than that which you are required 1® Required byte contract or,agreement;or <br /> by the contract or agreement to provide for such <br /> additional insured. 2. Available under the applicable Limits of Insurance <br /> shown int Declarations; <br /> whichever is less. <br /> This endorsement shall not increase the applicable <br /> Limits of Insurance she in the Declarations. <br /> GG 20 12 0413 0 Insurance Services Office, Inc.,2012 Page 2 of 2 <br /> 12, <br />