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POLICY NUMBER_.,TWT 0G00143-01 COMMERCIAL GNERAL LIABILITY <br />CG 20 10 04 13 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - 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 Insured Person(s) <br />Or Organization(s) <br />Locations Of Covered Operations <br />contract was executed <br />Where required by <br />prior to the date of <br />written contract or <br />loss <br />agreement provided such <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations, <br />A. Section II — Who Is An Insured is amended to B. <br />include as an additional insured the person(s) <br />or organization(s) shown in the Schedule, but <br />only with respect to liability for "bodily injury", <br />"property damage" or "personal and adver- <br />tising 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 <br />your behalf; <br />in the performance of your ongoing operations <br />for the 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 <br />by law; and <br />2. If coverage provided to the additional in- <br />sured is required by a contract or agree- <br />ment, the insurance afforded to such addi- <br />tional insured will not be broader than that <br />which you are required by the contract or <br />agreement to provide for such additional <br />insured. <br />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" <br />or "property damage" occurring after: <br />1. All work, including materials, parts or <br />equipment furnished in connection with <br />such work, on the project (other than <br />service, maintenance or repairs) to be <br />performed by or on behalf of the additional <br />insured(s) at the location of the covered <br />operations has been completed; or <br />2. That portion of "your work" out of which <br />the injury or damage arises has been put to <br />its intended use by any person or organiza- <br />tion other than another contractor or sub- <br />contractor engaged in performing opera- <br />tions for a principal as a part of the same <br />project. <br />CG 20 10 04 13 © Insurance Services Office, Inc., 2012 <br />yos„off wak]Mamgeme„OMslm <br />Renm&APPROVM W." <br />8��.�;3 �M4h4M.t A. Y�Vf'E4lG <br />Risk Management Analyst <br />