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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />r <br />FARMER9 j6840 <br />INSURANCE 2nd Edition <br />m 0! * r: 6 1 0 # s . a <br />' a s <br />This endorsement mfi insurance providedunder the folloving: <br />BUSINESSOWNERS LMABIttTY COVERAGE FORM <br />BUSINESSOWNERS COMMON POLICY CONDITIONS <br />Mth respect to coverage provided by this andorsement, the provisions of the Coverage form apply unless modified by the <br />andonsoment. <br />SCHEDULE <br />Name OfAdeflUonatInsured Person(a) crryops" ANA <br />Or Organixatton(s); 'SEEJ71 OS AMENDTOADDNL INS <br />Location Of Covered Oparatlen(s)r 375OW MCFADDCNANE <br />SANTAANACA92744 <br />Effective Efate Of Endorsement: k%5l6ST24 <br />ifno enftyappaarsabova, lnformatlon rcqulred totocvmptoTe this emiarsament will shormr In the t3ectarAtEons. <br />The BUSINESSOWNERS LIABILITY COVERAPE FORM Is amended as follows: <br />A. With respect to theadditional insured described In Paragraph B. of th{sendorsement, thafotlowing exctusions areadded <br />to Paragraph I . AppReable To Bustness Liability Coverage under Section 8,Exciustans: <br />This losunurce does not applyto. <br />t. "Bodily Injury" or "property damage" for Wrich the additional Ineured(s) Isobligated to pay damages by reason of <br />the assumption of liability In a contract oragreemenI, This exclusion does not apply toliability for damages that tire <br />additional haured(s) would hIn the absence ofthecontract oragraament. <br />2. 118odtly Injury" or"property a"occurring after: <br />a. Your ongoing operations at the location of cowered operations other than service maintenance or repairs <br />perforated byyouoronyour behalfhavebow complated:or <br />b. The portion of your ongoing operation out of which the "bodily Injury" or "property damage" arises has been <br />put to Its intesndeduse by any person or organization. <br />But In noeventsrhaffthis Insurance to"bodllytnjury"or"property damage° arising out of your operations that <br />were completed priortothee vedateofthisendorsement. <br />3. "Bad#ty injury" or "pr000rty damagie arising out of any act or omission of the additional Insured(&) or any of Its <br />"empl< , agents or contractors other than you, except for general supervision by the additional Insured(s) of <br />yourongotngoperations performedforthatadditional insured. <br />q. "Pr rtydamage"to: <br />a. Propenyownedusedorcuccupladbyorr <br />b, Property in the care custody or control tW t � F er which tire additional Insured(s) <br />exercise physical control, or <br />e. Any work Including materials, parts or oqutpme nectlon with such work which is performed <br />for theaddltionat Insured byyou. <br />AN It, AC£VE(JO <br />JJ66840kED2U9-IS Includes copynghtedmaterial efinsuranceServl oftloc,Inc.,withhapennissfon. Pagel oft <br />iOW201 <br />