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i <br />OLD REPUBLIC GENERAL INSURANCE CORPORATION <br />CHANGES ADDITIONAL INSURED 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 />Name of Additional Insured Person(s) <br />Or Or anization s <br />Location(s) of Covered Operations <br />Blanket - as required by contract <br />As soeciW in your suned and written agreement <br />ANY PERSON OR ORGANIZATION FOR WHOM THE <br />in advance of the "occurrence" for which the <br />NAMED INSURED IS REQUIRED UNDER WRITTEN <br />addition/insured seeks coverage <br />CONTRACT TO FURNISH THIS ENDORSEMENT <br />As required by written contract: <br />Information required to complete this Schedule. if 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 organization shown in the <br />schedule above for the same operation and job location. If 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 />AlCG94841ID2 <br />Endorsement No. <br />Policy Period <br />OMI/2011 - 0&01/2012 <br />Endorsement Effective Date: <br />06/01/2011 <br />CG EN GN 0029 (09(06) <br />