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DocuSign Envelope ID: D88FA102-A4A5-4F89-BB27-3941CF5F6548 <br />Attachment Code: D574649 Certificate ID: 16765248 <br />Additional Insured — Owners, Lessees Or 0 <br />Contractors — Scheduled Person Or Organization 2 U RI C H <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />Policy No. GLOO146311 Effective Date: 8/28/2022 <br />This endorsement modifies insurance provided under the: <br />Commercial General Liability Coverage Part <br />SCHEDULE <br />Name Of Additional Insured Person(s) <br />Or Organization(s): <br />Location(s) Of Covered Operations <br />ANY PERSON OR ORGANIZATION ARE REQUIRED <br />ALL <br />TO PROVIDE ADDITIONAL INSURED STATUS IN <br />LOCATIONS <br />A WRITTEN CONTRACT, AGREEMENT OR PERMIT. <br />U-GL-2169-A CW (02/19) <br />Page 1 of 2 <br />City Council 16 — 70 10/18/2022 <br />