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								    FEB, 20 2015 9 :12AM 9492168855 N0, 2993 P, 15/21 
<br />BUSINESS LIABILITY COVERAGE FORM 
<br />(2) With respect to the insurance afforded 
<br />e, Permits Issued By State Or Political 
<br />to these additional insureds, this 
<br />Subdivisions 
<br />insurance does not apply to any 
<br />"occurrence" 
<br />(1) Any state or political subdivision, but 
<br />which takes place after 
<br />only with respect to operations 
<br />You cease to lease that equipment. 
<br />performed by you or on your behalf for 
<br />c. Lessors Of Land Or Premises 
<br />which the state or political subdivision 
<br />(1) Any person or organization from 
<br />has issued a permit 
<br />whom you lease land or premises, but 
<br />(2) With respect to the insurance afforded 
<br />only with respect to liability arising out 
<br />to these additional insureds, this 
<br />of the ownership, maintenance or use 
<br />insurance does not apply to: 
<br />of that part of the land or premises 
<br />leased to you. 
<br />(a) "Bodily injury", "property damage" 
<br />(2) With respect to the insurance afforded 
<br />or "personal and advertising 
<br />injury' arising out of operations 
<br />to these additional insureds, this 
<br />performed for the state or 
<br />Insurance does not apply to: 
<br />municipality; or 
<br />(a) Any "occurrence" which takes 
<br />(b) 'Bodily Injury' or "properly damage" 
<br />place after you cease to lease that 
<br />included within the "products - 
<br />land or be a tenant in that 
<br />completed operations hazard" 
<br />premises; or 
<br />f. Any Other Patty 
<br />(b) Structural alterations, new 
<br />(1) Any other person or organization who 
<br />construction or demolition 
<br />is not an insured under Paragraphs a. 
<br />operations performed by or on 
<br />behalf of such 
<br />through e. above, but only with 
<br />person or 
<br />organization.' 
<br />respect to liability for "bodily injury", 
<br />"property 
<br />damage" or "personal and 
<br />d, Architects, Engineers Or Surveyors 
<br />advertising injury" caused, in whole or 
<br />(1) Any architect, engineer, or surveyor, but 
<br />in part, by your acts or omissions or 
<br />only with respect to liability for "bodily 
<br />the acts or omissions of those acting 
<br />injury", "property damage" or "personal 
<br />on your behalf: 
<br />and advertising Injury' caused, in whole 
<br />(a) In the performance of your 
<br />or in part, by your acts or omissions or 
<br />ongoing operations; 
<br />the acts or omissions of those acting on 
<br />(b) In connection with your premises 
<br />your behalf: 
<br />owned by or rented to you; or 
<br />(a) lot connection with your premises; 
<br />(c) In connection with "your work' and 
<br />included within the "products - 
<br />(b) In the performance of your 
<br />completed operations hazard ", but 
<br />ongoing operations performed by 
<br />only if 
<br />you or on your behalf, 
<br />(i) The written contract or written 
<br />(2) With respect to the insurance afforded 
<br />agreement requires you to 
<br />to these additional insureds, the 
<br />provide such coverage to 
<br />following additional exclusion applies: 
<br />such additional insured; and 
<br />This insurance does not apply to 
<br />(ii) This Coverage Part provides 
<br />"bodily injury", "property damage" or 
<br />coverage for "bodily injury" or 
<br />"personal and advertising injury' 
<br />"property damage" included 
<br />arising out of the rendering of or the 
<br />within the "products - 
<br />failure to render any professional 
<br />completed operations hazard ". 
<br />services byorforyou, including: 
<br />(2) With respect to the insurance afforded 
<br />(a) The preparing, approving, or 
<br />to these additional insureds, this 
<br />failure to prepare or approve, 
<br />insurance does not apply to: 
<br />maps, shop drawings, opinions, 
<br />reports, surveys, field orders, 
<br />"Bodily injury ", "property damage" or 
<br />"personal 
<br />change orders, designs or 
<br />and advertising injury' 
<br />drawings and specifications; or 
<br />arising out of the rendering of, or the 
<br />failure to 
<br />(b) Supervisory, inspection, 
<br />render, any professional 
<br />architectural, engineering or surveying 
<br />architectural or engineering 
<br />services, including: 
<br />activities. 
<br />Form SS 00 08 04 05 
<br />Page 13 of 24 
<br />RECEIVE: N0.3654 02/20/2015/FRI 
<br />10:04AM 
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