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. ~, <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />~-DDITIONAL ENSURED -OWNERS, LESSEES OR ~ ~ . . <br />CONTRACTORS -COMPLETED OPERATIONS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) <br />Or Or anizatfon s Location And Description Of Completed Operations <br />City of Eugene Pro)ect:2008 Pothole Repair <br />Insurance is primary and non-contributory <br />Information re wired to co lets 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 persons} or <br />organization(s) shown in the Schedule, but only with <br />respect to liability 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 pertormed for that additional <br />insured and included in the "products-completed <br />operations hazard". <br />This endorsement Is executed by the <br />Premium $ <br />Effectlve Date 9^T.^08 Expiratlon Date 9^1-09 <br />ForattachmenttoPollcyNo. TB2^C85-004095-118 <br />Audit Basis <br />Issued To <br />SSQtS1'ARr • i PRESIDENT <br />Countersigned by ""~ ~ .,~! <br />. /t~/I a~~ <br />Authorized Representative <br />Issued Sales Otflce and No. End. Serial No. <br />CG 20 37 O7 04 4 ISO Properties, Inc., 2004 Page 1 of 1 <br />