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OLD REPUBLIC GENERAL INSURANCE CORPORATION <br />CHANGES ADDITIONAL INSURE❑ PRIMARY WORDING SCHEDULE <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br />Additional Insured Person(s) I Location(s) of Covered Operations <br />Blanket - as required by contract As specified in your signed and w&en agreement <br />ANY PERSON OR ORGANIZATION FOR WHOM THE in advance of the "occurrence"for vdhlch the <br />NAMED INSURED IS REOUIRED UNDER WRI I —TEN addmonal insured seeks coverage <br />CONTRACT TO FURNISH THIS ENDORSEMENT <br />As required by written contract: <br />Information required to complete this Schedule, it not shown above, will be shown in the Declarations. <br />The insurance provided by this endorsement is primary insurance and we will not seek contribution from <br />any other insurance of a like kind available to the person or organization shown in the schedule above <br />unless the other insurance is provided by a contractor other than the person or organizatlon shown in the <br />schedule above for the same operation and job location. It so, we will share with that other insurance by <br />the method described in paragraph 4.c. of Section IV — Commercial General Liability Conditions. <br />All other terms and conditions remain unchanged. <br />Named Insured <br />Paulus Engineering, Inc. <br />Policy Number <br />Al CG94841001 <br />Endorsement No. <br />Policy Period <br />05101l2010-0510112011 <br />4Endorsement Effective Date: <br />05/01/2010 <br />CG EN GN 0029 (09106) <br />