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POLICY NUMBER: RGL-724982400 COMMERCIAL GENERAL LIABILITY <br /> CG 20 11 04 13 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - MANAGERS OR <br /> LESSORS OF PREMISES <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> Designation Of Premises (Part Leased To You): Laurie Lamomotte Park,6970 Lammotte Drive,Centerville MN 55038 <br /> Name Of Person(s) Or Organization(s) (Additional Insured):city of Centerville <br /> Onlywith respect to Anoka Co Radio/Emergency Service's negligence during the Anoka County Radio Club/ARRL Field Day <br /> being held at Laurie Lamomotte Park,6970 Lammotte Drive,Centerville MN 55038 on 06/21/2019 through 06/23/2019. <br /> Additional Premium: $0.00 <br /> Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br /> A. Section II — Who Is An Insured is amended to include 2.If coverage provided to the additional insured is required by <br /> as an additional insured the person(s) or organization(s) a contract or agreement, the insurance afforded to <br /> shown in the Schedule, but only with respect to liability such additional insured will not be broader than that <br /> arising out of the ownership, maintenance or use of that which you are required by the contract or agreement <br /> part of the premises leased to you and shown in the to provide for such additional insured. <br /> Schedule and subject to the following additional B. With respect to the insurance afforded to these additional <br /> exclusions: insureds, the following is added to Section III— Limits Of <br /> This insurance does not apply to: Insurance: <br /> 1. Any"occurrence"which takes place after you cease to If coverage provided to the additional insured is required <br /> be a tenant in that premises. by a contract or agreement, the most we will pay on <br /> 2. Structural alterations, new construction or demolition behalf of the additional insured is the amount of <br /> operations performed by or on behalf of the person(s) insurance: <br /> or organization(s)shown in the Schedule. 1. Required by the contractor agreement; or <br /> However: 2. Available under the applicable Limits of Insurance <br /> 1. The insurance afforded to such additional insured only shown in the Declarations; <br /> applies to the extent permitted by law; and whichever is less. <br /> This endorsement shall not increase the applicable Limits <br /> of Insurance shown in the Declarations <br /> CG 20 11 04 13 © Insurance Services Office, Inc., 2012 Page 2 of 2 <br /> 120 <br />