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<br />POLICY NUMBER: GLD11101-02 <br />COMMERCIAL GENERAL LIABILITY <br />CG 201011 85 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - (FORM B) <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br />Name of Person or Organization: <br />SCHEDULE <br />ANY PERSON OR ORGANIZATION REQUIRED BY WRITTEN CONTRACT <br />It is agreed that this insurance maintained pursuant to the written contract agreements shall be primary to, and <br />not contribute with any insurance or self-insurance maintained by the above, but only with respect to work per- <br />formed by or on behalf of the Named Insured. <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as <br />applicable to this endorsement.) <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the <br />Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. <br />CG 201011 85 Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1 13