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ENDORSEMENT <br /> This endorsement, effective 12:01 A.M. 03/01/2024 <br /> forms a part of Policy No. 518-01-77 <br /> issued to GOFORTH & MART I <br /> by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. <br /> ADDITIONAL INSURED- OWNERS, LESSEES, OR CONTRACTORS - <br /> SCHEDULED PERSON OR ORGANIZATION <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br /> SCHEDULE <br /> NAME OF PERSON OR ORGANIZATION: <br /> (If no entry appears above, information required to complete this endorsement will be shown in the <br /> Declarations as applicable to the endorsement.) <br /> A. SECTION II -WHO IS AN INSURED is amended to include as an insured; <br /> The person or organization shown in the schedule, but only with respect to liability arising <br /> out of your ongoing operations performed for that additional insured. <br /> B. With respect to the insurance afforded to these additional insureds, SECTION I - <br /> COVERAGES, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. - <br /> Exclusions, is amended to include the following additional exclusion; <br /> This insurance does not apply to "bodily injury" or "property damage" occurring after: <br /> (1) all work, including materials, parts or equipment furnished in connection with such <br /> work, on the project (other than service, maintenance or repairs) to be performed by or <br /> on behalf of the additional insured(s) at the site of the covered operations has been <br /> completed; or, <br /> (2) that portion of "your work" out of which the injury or damage arises has been put to its <br /> intended use by any person or organization other than another contractor or <br /> subcontractor engaged in performing operations for a principal as a part of the same <br /> project. <br /> All other terms and conditions remain unchanged. <br /> Authorized Representative or <br /> Countersignature (in States Where <br /> Applicable) <br /> a o�, Risk MasagententDivlskm <br /> REVIEWED^&APPROVED By: <br /> Pled <br /> Risk Management Specialist <br /> 97838 (4/08) Includes copyrighted material of Insurance Services Office, Inc. with its / <br />