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<br />~ ~.. <br /> <br />POLICY NUMBER 15371601 <br /> <br />COMMERCIAL GENERAL LIABILITY <br /> <br />NAMED INSURED: Sterling Corporate Custom Elevator Interiors <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS (FORM B) <br /> <br />This endorsement modifies insurance provided under the following: <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br /> <br />SCHEDULE <br /> <br />Name of Person or Organization: <br /> <br />ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE PERFORMING <br />OPERATIONS WHEN YOU AND SUCH PERSON OR ORGANIZATION HAVE <br />AGREED IN WRITING IN A CONTRACT OR AGREEMENT THAT SUCH PERSON <br />OR ORGANIZATION BE ADDED AS AN ADDITIONAL INSURED ON YOUR POLICY. <br /> <br />(If no entry appears above, information required to complete this endorsement will be <br />shown in the Declarations as applicable to this endorsement) <br /> <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person or <br />organization shown in the Schedule, but only with respect to liability arising out of "your <br />work" for that insured by or for you. <br /> <br />APPROVED AS TO FORM <br /> <br />-.All IJ.' ('Ii. t/3 <br />I(ifjjt Sheedy <br />Deputy City i'\ttorney <br /> <br />CG 20 10 11 85 <br /> <br />Copyright, Insurance Services Office, Inc., 1984 <br />