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POLICY NUMBER:PK202000012079 COMMERCIAL GENERAL LIABILITY <br />CG 20 11 01 96 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - MANAGERS OR LESSORS OF <br />PREMISES <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />1. Designation of Premises (Part Leased to You): <br />Per Locations on Dec Page <br />2. Name of Person or Organization (Additional Insured): <br />As per written contract <br />3. Additional Premium: $0 <br />(If no entry appears above, the information required to complete this endorsement will be shown in the <br />Declarations as applicable to this endorsement.) <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the <br />Schedule but only with respect to liability arising out of the ownership, maintenance or use of that part of the <br />premises leased to you and shown in the Schedule and subject to the following additional exclusions: <br />This insurance does not apply to: <br />1. Any "occurrence" which takes place after you cease to be a tenant in that premises. <br />2. Structural alterations, new construction or demolition operations performed by or on behalf of the person or <br />organization shown in the Schedule. <br />CG 20 11 01 96 Copyright, Insurance Services Office, Inc., 1994 <br />�„ oR,N� RI�feMr�agdr►te�lDiviaian <br />REVIEWED&APPROVEDBv: <br />��� Risk Management Supervisor <br />