.THIS ENDOR$EMENT~CHANGES THE P4L1G~F. PLEA <br /> SE READ I <br /> . T CAREFULLY. <br /> . ~?DDITIQNA~ ENSURED - QINNERS LES <br /> SEAS <br /> DR <br /> Ct3N~TRACTURS - CQMPI.ETED QPEI~ATI~QNS <br /> . This endorsement ~nodifles insurance provided under the following: <br /> . COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br /> l SCHEDULE <br /> Name Of Additional insured Person(s) Location And Description Of Completed Operations <br /> Or Or anizatipn s <br /> City of Eugene Project: Alton Baker Park -Lot 8 <br /> Job ~~4612 <br /> Insurance is primary and non-contributory <br /> Information re wired to lete this Schedule if not shown above will. be shown in the Declarations. <br /> Section I[ -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 "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 /> Effective Date 9-i-09 Expiratlan Date 9--~I,-10 <br /> .Fa'attachmentboPoltcyNo. TB2-C85=40.4095119 <br /> Audit Basis <br /> Issued To <br /> S8QtB1'ARY~ P1t8SIDHNT <br /> Countersigned by ~ ' <br /> • J~r7 <br /> issued Autlwrized Repreeentatlve <br /> Bales Offlce and No. End. Sella) No. <br /> C~3 2Q 87 Ot 04 ~ ®ISO Properties, Inc., 2004 e...._ . _r . <br /> <br />