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POLICY NUMBER: RGL-724982404 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 1104 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 Lamotte Park, 6970 Lamotte Dr, Centerville, MN 55038 <br />Name Of Person(s) Or Organization(s) (Additional Insured):city of Centerville <br />Only with respect to Anoka Co Radio/Emergency Service's negligence during the ARRL 2023 Field Day being held at Laurie <br />Lamotte Park, 6970 Lamotte Dr, Centerville, MN 55038 on 06/23/2023 through 06/2512023. <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 <br />as an additional insured the person(s) or organization(s) <br />shown in the Schedule, but only with respect to liability <br />arising out of the ownership, maintenance or use of that <br />part of the premises leased to you and shown in the <br />Schedule and subject to the following additional <br />exclusions: <br />This insurance does not apply to: <br />1. Any "occurrence" which takes place after you cease to <br />be a tenant in that premises. <br />2. Structural alterations, new construction or demolition <br />operations performed by or on behalf of the person(s) <br />or organization(s) shown in the Schedule. <br />However: <br />1. The insurance afforded to such additional insured only <br />applies to the extent permitted by law; and <br />2.If coverage provided to the additional insured is required by <br />a contract or agreement, the insurance afforded to <br />such additional insured will not be broader than that <br />which you are required by the contract or agreement <br />to provide for such additional insured. <br />B. With respect to the insurance afforded to these additional <br />insureds, the following is added to Section III — Limits Of <br />Insurance: <br />If coverage provided to the additional insured is required <br />by a contract or agreement, the most we will pay on <br />behalf of the additional insured is the amount of <br />insurance: <br />1. Required by the contract or agreement; or <br />2. Available under the applicable Limits of Insurance <br />shown in the Declarations; <br />whichever is less. <br />This endorsement shall not increase the applicable Limits <br />of Insurance shown in the Declarations <br />CG 20 11 0413 © Insurance Services Office, Inc., 2012 Page 2 of 2 <br />