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POLICY NUMBER: 9841128 COMMERCTAL GENERAL LtABtLtTY <br />cG 20 10 04 13 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDTTTONAL TNSURED - OWNERS, LESSEES OR <br />CONTRACTORS . SCHEDULED PERSON OR <br />ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional lnsured Person(s) <br />Or Organizations:Location(s) Of Covered Operations <br />KITTITAS COUNTY <br />sORONERES OFFICE <br />205 W sTH AVE STE 108 <br />:LLENSBURG WA 98926 <br />e lL-F-40-0001 <br />nformation required to complete this Schedule , if not shown above, will be shown in the Declarations <br />A. Section ll - Who ls An lnsurcd is amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but onlywith respect to liability for "bodily injury,,, <br />"propedy damage" or "personal and advertising <br />injury" caused, in whole or in part, by: <br />1. Your acts or omissions; or <br />2. The acts or omissions of those acting on your <br />behalf; <br />in the performance of your ongoing operations forthe additional insured(s) at the location(s) <br />designated above. <br />However: <br />1. The insurance afforded to such additional <br />insured only applies to the extent permitted by <br />law; and <br />2. lf coverage provided to the additional insured <br />is required by a contract or agreement, the <br />insurance afforded to such additional insured <br />will not be broader than that which you are <br />required by the contract or agreement to <br />provide for such additional insured. <br />JOHNSTON FUNERAL PARLORS, LLC <br />301 E 3RD AVE <br />ELLENSBURG WA 98926 <br />B. With respect to the insurance afforded to these <br />additional insureds, the following additional <br />exclusions apply: <br />This insurance does not apply to "bodily injury" or <br />"property damage" occurring after: <br />1. All work, including materials, parts or <br />equipment furnished in connection with such <br />work, on the project (other than service, <br />maintenance or repairs)to be performed by or <br />on behalf of the additional insured(s) at the <br />location of the covered operations has been <br />completed; or <br />2. That portion of "your work" out bf which the <br />injury or damage arises has been put to its <br />intended use by any person or organization <br />other than another contractor or subcontractor <br />engaged in pedorming operations for a <br />principal as a pad of the same project. <br />@ lnsurance Services Office, 1nc.,2012 Page 1of 2 <br />Policy Number: 984'1128 Transaction Effective Date: 08-18-2020cG 20 10 04 13