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POLICY NUMBER: 181-502638 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 10 12 19 <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 Organizations <br />Locations Of Covered Operations <br />enp p_rson(s) or org3ni zation(s) for whom you <br />are performing operazions, but only if you ha-,e <br />agrccd, 1:1 a-,rrittcn _antract er :rri_ten <br />aAreeven t, ahoulu ce added a:; a.n c-zli i-n:n1 <br />_u:1ured on Yni-. oolicr Lr,- ( 1]al l-)ca Lion or oa1l. <br />th=reoF, provided s_ich wri_tan _�,rr.-acc r <br />r'tter agreement is fully eses.uted prior to 3n <br />"occcrrerce" iri vh ah is soucht urger <br />th_s pol_cv. <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 <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only <br />with respect to liability for "bodily injury", "property <br />damage" or "personal and advertising injury" <br />caused, in whole or in part, by: <br />1. Your acts or omissions; or <br />2. The acts or omissions of those acting on your <br />behalf; <br />in the performance of your ongoing operations for <br />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 by <br />law; and <br />2. If coverage provided to the additional insured is <br />required by a contract or agreement, the <br />insurance afforded to such additional insured <br />will not be broader than that which you are <br />required by the contract or agreement to provide <br />for such additional insured. <br />ltiek Mnr�gemmtDhisimi <br />REVIEWED&APPRO By. <br />�. <br />A.1-�, Acw44 <br />Risk Manzyement Spedzlirt <br />OF <br />CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 3 <br />