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POLICY NUMBER: 35-694-04 COMMERCIAL GENERAL LIABILITY <br /> CO 20 10 12 19 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - OWNERS, LESSEES OR <br /> CONTRACTOR - SCHEDULED PERSON OR <br /> ORGANIZATION <br /> This endorsement modifies Insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERA13F PART <br /> SCHEDULE <br /> Name Of Additional Insured Persons) <br /> Or Or anizationli) Location(e) Of Cowered Opointlons <br /> ANY PERSON OR ORGANIZATION WHOM PER THE CONTRACT OR AGREEMENT. <br /> YOU BECOME OBLIGATED TO INCLUDE AS <br /> AN ADDITIONAL INSURED AS A RESULT <br /> OF ANY CONTRACT OR AGREEMENT YOU <br /> HAVE ENTERED INTO, <br /> Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br /> A. Section II B Who is An Insured is amended to B. With respect to the insurance afforded to these <br /> include as an additional insured the persons) or additional insureds, the following additional <br /> organizations) shown. in the Schedule,but only exclusions apply: <br /> with respect to liability for "bodily injury", This insurance does not apply to "bodily Injury" <br /> "property damage" or "personal and advertlsing or"property damage" occurring after: <br /> injury" caused, in whole or in part, by: 1. All work, including materials, parts or <br /> 1. Your acts or omissions;. or equipment furnished in connection With suoh <br /> 2. The acts or omissions of those acting on work, on the project (other than service, <br /> your behalf; maintonanr o or repairs) to be performed by <br /> in the performance of your ongoing operations or on behalf of the additional insured($) at <br /> for the additional Insured(s) at the location(s) the location of the cornered operations has <br /> designates) above. been completed; or <br /> However. 2. That portion of "your work" out of which <br /> the injury or damage arises has been put to <br /> 1. The insurance afforded to such additional its. intended use by any person or <br /> insured only applies to the extent permitted organization other than another contractor or <br /> by law; end subcontractor engaged in performing <br /> 2. If coverage provided to the additional operations for a principal as a part of the <br /> Insured Is required by a contraot or same project. <br /> agreement, the insurance afforded to such <br /> additional insures) will not be broader than <br /> that which you are required by the contraot <br /> or agreement to provide for such additional <br /> insured. <br /> CG 20 10 12 19 0 Insurance Services Office, Inc., 2018 Page 1 of 2 <br />