71-XX - Chanhassen Estates 2nd Add SUB pt 5Chanha s,ae ►n 1✓s§c) �e-s ZY\ cA
LIABILITY
(The Attaching Clause need ue completed only when this endorsement is issued subsequent to prep
G 111
ADDITIONAL INSURED
(State or Political Subdivisions — Permits Relating to Premises)
This endorsement modifies such insurance as is afforded by the provisions of the policy re
COMPREHENSIVE GENERAL LIABILITY INSURANCE
MANUFACTURERS' AND CONTRACTORS' LIABILITY INSURANCE
OWNERS', LANDLORDS' AND TENANTS' LIABILITY INSURANCE
STOREKEEPER'S INSURANCE
This endorsement, effective June 30, 197 ' forms a part of policy No.
(12:01 A. M., standard time)
issued to Chanhassen Holding Co.
by Iowa National Mutual Insurance Company
........................
Authorizes
SCHEDULE
Designation of State or Political Subdivision:
Village of Chanhassen
Premium Limits of Property Damage Liability
6' $ 100, 000. each occurrence
$ 100, 000. aggregate
It is agreed that the "Persons Insured" provision includes as an insured any state or political subdivision de
to the following additional provisions:
1. The insurance for any such insured applies only with respect to such of the following hazards for whi,
issued a permit in connection with premises owned by, rented to or controlled by the named insured and ter
applies:
(a) the existence, maintenance, repair, construction, erection or removal of advertising signs, awnings,
driveways, manholes, marquees, hoistway openings, sidewalk vaults, street banners or decorations an
(b) the construction, erection or removal of elevators;
(c) the ownership, maintenance or use of any elevators covered by the policy.
2. If Property Damage Liability Coverage is not otherwise afforded, such insurance shall nevertheless apply
or on behalf of the named insured in connection with the hazard for which the permit has been issued subj
AUTHENTIC