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POLICY NUMBER: 9016877004 COMMERCIAL GENERAL LIABILITY <br /> CG20101001 <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 Person or Organization: <br /> As required by written contract <br /> (If no entry appears above, information required to complete this endorsement will be shown in the Declarations <br /> as applicable to this endorsement.) <br /> A. Section II - Who Is An Insured is amended to (1) All work, including materials, parts or <br /> include as an insured the person or organization equipment furnished in connection with <br /> shown in the Schedule, but only with respect to such work, on the project (other than <br /> liability arising out of your ongoing operations service, maintenance or repairs) to be <br /> performed for that insured. performed by or on behalf of the <br /> B. With respect to the insurance afforded to these additional insured(s) at the site of the <br /> additional insureds, the following exclusion is covered operations has been <br /> added: completed; or <br /> 2. Exclusions (2) That portion of"your work" out of which <br /> the injury or damage arises has been <br /> This insurance does not apply to "bodily put to its intended use by any person or <br /> injury" or"property damage" occurring after: organization other than another <br /> contractor or subcontractor engaged in <br /> performing operations for a principal as <br /> a part of the same project. <br /> CG 20 10 10 01 © ISO Properties, Inc., 2000 Page 1 of 1 <br /> 9016877 06/23/2023 <br /> Sentry Insurance Company <br /> 1 00001 0000000000 23174 0 N 736fc4db-2e6c-478e-b349-d2b7d0627690 <br />