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POLICY NUMBER: BCS2001609 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 3712 19 <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 />PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) <br />Or Organization(s) <br />Location And Description Of Completed Operations <br />ANY PERSCN OR CRGANI ZATI CN VVEN <br />ALL LOCATIONS <br />REWIRED BY NPtI TTEN CCNTRACf OR <br />AGREEMENT, EXECUTED PRIOR TO THE <br />OCCURRENCE TO VIHI CH TH S I NSURNgCE <br />APPLIES, THAT SUCH PERSON CR <br />ORGAN ZATI ON BE ADDED AS AN ADDI TI CNAL <br />I NSURED CN YOUR PCLI CY. <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" or <br />"property damage" caused, in whole or in part, by <br />"your work" at the location designated and <br />described in the Schedule of this endorsement <br />performed for that additional insured and included <br />in the "products -completed operations hazard <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 <br />provide for such additional insured. <br />fiAeM�agemoilDiuisian <br />IXf�viemeo&APPRWD7Bv: <br />A+�p AIW44 <br />` Risk Management Specialist <br />CG 20 37 12 19 © Insurance Services Office, Inc., 2018 <br />