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Liability Insurance. <br />B.7dorsement <br />PblicyPerlod OCTOtE'l2l',2014 TO: OCTOBER 1;:X11'5 <br />Effective Date 0C7OBF1!U,1614 <br />Policy Number S529-32-5'0'-PL8 <br />insured kid-!ARbW-AtSON'& dERSHON <br />Name of Company VICALANT INSUR&NT COMPANY <br />Date Issued OCTOBER 27,2044 <br />I I A ,Lrm 1, 0." <br />This Endorscrnunta.pplios to the foLlowinghrms:, <br />�68NBRAL,LIABILITY <br />Under Who Is An;:f hsurcd",°tha fiollbwing proVisionis adi&cl <br />Whp Is An Insure[ <br />,AdditibhbllnWred- Persons or brganvzAion"IwWu in the schednjeiareinsijrods;but they are I nsii'reds6n1y:ifyou are <br />Scheduled . Pem gn -ob!ig'n-t'cdpnrsuant('o a! contrart or agreemetitto provide them with such insurance as; is afftirded-by <br />6r drga'nlMlon this p6lI C, y. <br />Petsqn qr-dfgari, . tic " 1 0 onlv� <br />!za tonis an, xispre, <br />ff:and then onty to the extent1heper8on ororgariizat6yis describaaimthe:9che&(q <br />fo i4e eKtontsndh contractor. agreement requires,,thopcisoll or,orgariizafiontQ be 45bi-ded <br />skauts as art .lias�red <br />for activities that dUnot occur, in Whoie t1 e. c.xoct4io.qof tho'contraa or. <br />.agreement; and <br />with riesp4ot todaniages, toss, castor expense for -inj,ifty or:daruaga to which this insurance <br />appli6s; <br />No person or° organNaflonis7an insured ,rind er"this pfovisibn: <br />that ismore:specificalLyfdcntifLed,tiindergny.other provision of the Who Is An Insured <br />siedtion. (rc&dless of 6.ny litniWipfi apok4ble theretb). <br />With respedtto any assunipti6n of liabflity.(of -anbt.h6rpei'son dad organization) by them in a <br />conti,aci.or ageement, Thkirmf ia(6,does.no . t appty,to-the liabilityfor aarnages,. loss, cost or <br />expetisefor utlory or damage, to tvltich this,' insurance applies; that he person or organization <br />wontct 114v6 <br />A <br />S,,Indra M. Schwarzmann <br />nior AsSistant City Attol'ncY <br />VatiffitY Insurance Additional Insured -8cAied continued <br />Form 80-02-2367 (Rev, 5-07) Endorsement Page I <br />