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Named Insured: Zakskom Construction Company dba ZCON Builders <br /> POLICY NUMBER: BT01547816 COMMERCIAL GENERAL LIABILITY <br /> CG 20 12 05 09 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - STATE GOVERNMENTAL <br /> AGENCY OR SUBDIVISION OR POLITICAL <br /> SUBDIVISION - PERMITS OR AUTHORIZATIONS <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> State Or Governmental Agency Or Subdivision Or Political Subdivision: <br /> The City of Redwood City, its council members, officers, boards, commissions, employees and agents <br /> P.O. Box 391 Redwood City, CA 94064 <br /> Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br /> Section II — Who Is An Insured is amended to in- 2. This insurance does not apply to: <br /> clude as an insured any state or governmental a. "Bodily injury", "property damage" or "personal <br /> agency or subdivision or political subdivision shown in and advertising injury" arising out of operations <br /> the Schedule, subject to the following provisions: performed for the federal government, state or <br /> 1 . This insurance applies only with respect to opera- municipality; or <br /> tions performed by you or on your behalf for which b. "Bodily injury' or "property damage" included <br /> the state or governmental agency or subdivision or within the "products-completed operations <br /> political subdivision has issued a permit or au- hazard". <br /> thorization. <br /> CG 20 12 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 D <br />