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iV1: <br />~~....~ _4^r.. <br />THtS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />~®DtTION~L ENSURED - OV!lNER~, tE~SEES OR <br />CONTf~CTORS - C®~APLETED ®PERATIONS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />3.CHEDULE <br />Name Of Additional Insured P®rson(s) <br />Or Or anlzatign s Location And Description Of Completed Operations <br />City of Eugene Project: PPP08-Roosevelt Blvd <br /> Job ~i~4479 <br />Insurance is primary and non-contributarjr <br />Information re wired to late this Schedule if not shown above, will be shown in the Declarations. <br />Section II -Who Is An Insured is amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only with <br />respect to (lability for "bodily injury" or "property dam- <br />age" caused, in whole or In part, by "your work" at <br />the location designated and described in the sched- <br />ule of this endorsement performed for that additional <br />insured and included in the "products-completed <br />operations hazard". <br />This endorsement Is executed by the <br />Premium $ <br />EtFectlve Data 9^l-OS Expiration Date 9-1-09 <br />For attachment to Pottcy No. TB2-CB5-0040.96-1 l$ <br />Audit Basis <br />Issued To <br />T'ARY PRBStDENT <br />Countersigned by "'~ .,y.r <br />/LV~ /N'~/~do~ <br />Authortrsd RepresentaMre <br />Issued Sales Office and No. End. Serial No. <br />CG ZO 37 07 Oa m ISO Propask4as,1-tc., 2004 Pale 1 of 1 <br />