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3 i i POLICY NUMBER: CF4GL01371-261 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 i THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS ! This endorsement modifies insurance provided under the following: I COMMERCIAL GENERAL LIABILITY COVERAGE PART i PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART � I i SCHEDULE Name Of Additional Insured Person(s) Or Or anIzation s Location And Description Of Completed Operations ANY PERSON OR ORGANIZATION THAT ENTERED INTOANy LOCATION rOR WHICH THE NAMED INSURED'S WRITTEN CONTRACT WITH THE NAMED INSURED WORK WAS PERFORMED rOR SUCH PERSONS) OR QUIRING SUCH PERSONS) OR ORGANIZATION(S) ORGANIZATION(S) FOR ANY COMPLETED OPERATION TO BE INCLUDED AS AN ADDITIONAL INSURED. i it } f E E r Information required to complete this Schedule, if not shown above will be shown in the Declarations. i A. Section It — Who Is An Insured is amended to However: Include as an additional insured the person(s) or 1. The insurance afforded to such additional organization(s) shown in the Schedule, but only insured only applies to the extent permitted by with respect to liability for "bodily injury" or law, and "property damage"caused, in whole or in part, by your work" at the location designated and 2. If coverage provided to the additional insured is described in the Schedule of this endorsement required by a contract or agreement, the performed for that additional insured and insurance afforded to such additional insured will included in the "products-completed operations not be broader than that which you are required hazard". by the contract or agreement to provide for such additional Insured. i CG 20 37 0413 ©Insurance Services Office, Inc., 2012 Page 1 of 2 INSURED COPY