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POLICY NUMBER: 680-51-1299911 <br />COMMERCIAL GENERAL LIABILITY <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - COMPLETED OPERATIONS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Perron(s) Or Organization(s): <br />Any person or organization that you agree in a written contract to include as an additional insured on this Coverage <br />Part for "bodily injury" or "property damage" included in the products -completed operations hazard, provided that <br />such contract was signed by you before, and is in effect when, the "bodily injury or "property damage" occurs. <br />Location And Description Of Completed Operations <br />Any project to which a written contract with the Additional Insured Person(s) or Organization(s) in the Schedule applies. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />Section II — Who Is An Insured is amended to in- <br />clude as an additional insured the person(s) or or- <br />ganization(s) shown in the Schedule, but only with <br />respect to liability for "bodily injury" or "property dam- <br />age" caused, in whole or in part, by "your work" at the <br />CG 20 37 07 04 <br />CG T8 01 12 21 <br />DATE OF ISSUE:10/29/2021 <br />location designated and described in the schedule of <br />this endorsement performed for that additional in- <br />sured and included in the "products -completed opera- <br />tions hazard". <br />© ISO Properties, Inc., 2004 <br />Etvm6Arn r ; <br />�� ' %au {7rextou <br />nexm,.��naR�aaa <br />