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❑OLIC❑ ❑OMB❑R❑GLL-10740-01 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 10 0413 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - SCHEDULED PERSON OR <br />ORGANIZATION <br />T❑s endorse[] ant ❑odifies insurncce Drol7ded under tlia fo[D❑in❑❑ <br />COMM❑RCI❑L ❑a❑aR❑L LIaBILITa CO❑❑R❑o❑ a❑RT <br />SCHEDULE <br />Name Of Additional Insured Person(s) <br />Or Organization(s) <br />Locations Of Covered Operations <br />Any person or organization whom you are required to add as <br />All locations where your ongoing operations are performed <br />an additional insured to this policy under a written contract <br />for any additional insured as specified in a written contract <br />executed prior to the occurrence which results in bodily injury <br />or property damage under Coverage A, or the offense which <br />results in personal and advertising injury under Coverage B. <br />Infor❑ [lion re❑uired to co❑ ❑Cate t[1s Scaedule, if not s[o❑n aoD[e, ai®e s❑o❑n in tie DecETCtions❑ <br />A. Section II — Who Is An Insured is ❑❑ended to <br />incode a rn Eddition❑❑insured We aarsonCa❑or <br />or1loniEEtion11❑sio❑n in toe Scaedufe, Mt on® <br />❑ita res❑ect to IIDE120for "Ebdi®inora', "[ro❑arta <br />dm a[e" or "Gerson❑❑ Md DdD;rtisina inora' <br />cased, in ❑❑ote or in ❑nt, ❑m <br />1. Eour ❑cts or oa issions❑Dr <br />2. Tae acts or o❑ fissions of tCose ❑ctin❑ on Lbur <br />❑amm <br />in We aerfora [lice of [our on❑oin❑ ooxCtions for <br />t❑e ❑ddition❑a insured[SE] [t tae [Ocoion[I❑ <br />desio Eted E]Dl <br />ao❑el]l <br />1. T[e insuroice Cfforded to suc❑ ❑dditionaa <br />insured on®❑a❑Ges to tae e[tent Gera itted ❑❑ <br />Imo❑Did <br />2. If co[Br❑❑e Dro17ded to We [dditiona[lnsured is <br />re❑uired ❑❑ ❑ contr❑ct or ❑tree❑ent, tae <br />insur[ltce Gfforded to sue[] ❑ddition❑❑insured <br />❑i®not ❑e Oroader t❑Dt taD ❑Jc❑ Lou ore <br />re❑uired ❑❑ t❑e contr❑ct or a[l-ee❑ent to <br />Drodde for sue[] iddition❑dnsuredo <br />B. Wit❑ resGect to tie insurDtce Efforded to tiese <br />additional insureds, t❑e folld❑ina addition❑a <br />eC;osions ❑❑a® <br />Tos insurDice does not a®to "❑odi®inor❑' or <br />"Dro❑ertada❑ [Ce" occurrin❑ Ifter❑ <br />1. ❑® cork, incodin❑ ❑ oeri❑®, 0:1ts or <br />emia❑ent furnis❑ed in connection aita suc❑ <br />❑ork, on t0a Drot$ct [Ot❑er t❑o, ser❑ce, <br />❑[intenonce or rears❑to Ce [erfor❑ed a❑or <br />on Ce0❑Ifl of tile ❑dditionLIE] insured Esa o taa <br />UcLtion of t[la co red operLtions DES ❑een <br />co❑ aleted❑or <br />2. T❑D [brUon of "CDur ❑ork" out of aoc❑ t❑e <br />inoro or da❑ Ellie crises [[s Geen out to its <br />intended use ❑a Di❑ ❑erson or or❑Diiaoion <br />ot[er t❑oa rnotaer contractor or suCcontrtxtor <br />enmoad in aarforoina oaaroions for ❑ <br />aincima s ❑ DDt of t❑e s❑❑ a oro[act❑ <br />CG 20 10 0413 ❑ Insurrnce SerElces Office, Inc[]2012 <br />aex Risk MamganaeelAl aim <br />REVIEWED&APPR�NNlH4 <br />ov� DSY: <br />• p4M44 4 hgpa. V44F <br />RAManayament Analyst <br />