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HomeMy WebLinkAbout3743203IL 12 01 11 85 Copyright, Insurance Services Office, Inc., 1983 Copyright, ISO Commercial Risk Services, Inc., 1983 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLICY CHANGES Policy Change Number 01 POLICY NUMBER 2AA435163 POLICY CHANGES EFFECTIVE 07/21/2025 COMPANY EVANSTON INSURANCE COMPANY NAMED INSURED ADF PROPERTIES, LLC AUTHORIZED REPRESENTATIVE RT Specialty Insurance Services, LLC 3001 Douglas Boulevard Suite 320 Roseville, CA 95661 COVERAGE PARTS AFFECTED Commercial General Liability Coverage Part CHANGES In consideration of no change in premium, it is hereby understood and agreed that the following Additional Insured is added, per the attached form CG 20 12 05 09 - Additional Insured – State or Governmental Agency or Subdivision or Political Subdivision – Permits or Authorizations: City of Renton 1055 South Grady Way Renton, WA 98057 All other terms and conditions remain unchanged. 07/31/2025 All other terms and conditions remain unchanged. CG 20 12 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1  POLICY NUMBER: 2AA435163 COMMERCIAL GENERAL LIABILITY CG 20 12 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED – STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION – PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: CITY OF RENTON, 1055 SOUTH GRADY WAY, RENTON WA 98057 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II – Who Is An Insured is amended to include as an insured any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following provisions: 1.This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. 2.This insurance does not apply to: a."Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or b."Bodily injury" or "property damage" included within the "products-completed operations hazard".