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PPK2029374 <br />PI-MANU-1 (01/00) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br />ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS (FORM B) CG 2010 11/85 <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />Schedule <br />Name and Address of Person or Organization: <br />Any Person or Organization Subject to Section II (Who is an Insured) <br />As required by written contract or agreement prior to loss. <br />(If no entry appears above, information required to complete this <br />endorsement will be shown in the Declarations as applicable to this <br />endorsement.) <br />WHO IS AN INSURED (Section II) is amended to include as an insured the <br />person or organization shown in the Schedule, but only with respect to <br />liability arising out of "your work" for that insured by or for you. <br />CG 2010 11/85 <br />All other terms and conditions of this Policy remain unchanged. <br />Page 1 of 1 <br />60211694 1 LAYESEC-Cl 120-21 GL & - 20-21 AUTO I Bolton Certificate Processing 12/19/2021 2:04:19 AM (PST) I Page 2 0 <br />�ortaN <br />RAMwagementDMsfan <br />ccREVIEWED & APPROVED BY.- <br />PZ. Vg <br />Risk Management Analyst <br />