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<br />POLICY NUMBER: RGL-724982402 COMMERCIAL GENERAL LIABILITY <br />CG 20 11 04 13 <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED Î MANAGERS OR <br />LESSORS OF PREMISES <br /> <br />This endorsement modifies insurance provided under the following: <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br />SCHEDULE <br />Designation Of Premises (Part Leased To You): Laurie Lamotte Park 6970 Lamotte Drive Centerville MN 55038 <br /> <br />Name Of Person(s) Or Organization(s) (Additional Insured):City of Centerville <br />Only with respect to Anoka Co Radio/Emergency Service Ós negligence during the Field Day being held at Laurie Lamotte Park <br />6970 Lamotte Drive Centerville MN 55038 on 06/25/2021 through 06/27/2021. <br />Additional Premium: $0.00 <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br /> <br />A. Section II Î 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 <br />B. With respect to the insurance afforded to these additional <br />exclusions: <br />insureds, the following is added to Section III Î 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 />behalf of the additional insured is the amount of <br /> 2. Structural alterations, new construction or demolition <br />insurance: <br />operations performed by or on behalf of the person(s) <br />or organization(s) shown in the Schedule. 1. Required by the contract or agreement; or <br />However: 2. Available under the applicable Limits of Insurance <br />shown in the Declarations; <br /> 1. The insurance afforded to such additional insured only <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 /> <br /> <br /> <br /> <br /> <br /> <br /> <br />CG 20 11 04 13 © Insurance Services Office, Inc., 2012 Page 2 of 2 <br /> <br />