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,~< <br />.~~.,w. . <br />.,. <br />THIS ENDORSEMENT~CHANGES THE POLICY. PLEASE. READ IT CAREFULLY. <br />ADDITIONAL ENSURED -OWNERS, LESSE <br />CONTRACTORS -COMPLETED OPE ~ ES OR <br />. RATIONS <br />This endorsement trodlfies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE ~• <br />Name Of Additional Insured Person(s) <br />City of Eugcne <br />Insurance is primary and non-contributory <br />mt rormanon required to complete this Schedule if no <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 liability for "bodily inJury" or "properly 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 />Effective Date 9-.X-Og Expiration Date 9-1-09 <br />For attachment to Policy No. <br />Audit Basis TB2~CB5-004095-118 <br />Issued To <br />Issued <br />be <br />~' ~i G~M~ <br />• SBQtB'i'ARY pgg~ <br />Countersigned by <br />/~ ~ ,~ <br />Atd-wrized Represerdative <br />Sates Office and No. End. Serial No. <br />Location And Description Of Completed Operations <br />ProJect:2008 Pothole Repair <br />CG ~0 37 07 04 ~ ®ISO Properties, Inc., 2004 <br />Page 1 of 1 <br />