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POLICY NUMBER: CSCU01-03194 COMMERCIAL GENERAL LIABILITY <br /> CG 20.10 0413 <br /> THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - OWNERS, LESSEES OR <br /> CONTRACTORS - SCHEDULED PERSON OR <br /> ORGANIZATION <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL_LIABILITY COVERAGE PART <br /> SCHEDULE <br /> Name Of Additional Insured Person(s) <br /> _ Or Gr anizat:lon s Locations Of Covered Operations <br /> Any person or organization to whom the Named Insured Where specified by fully executed written contract. <br /> has agreed by a fully executed written contract that such <br /> person or organization be added as an Additional <br /> Insured, but only with respect to operations performed <br /> by or on behalf of the Named Insured and only with <br /> respect to occurrences subsequent to the making of <br /> such fully executed written contract otherwise covered <br /> by this Insurance. <br /> Information required to com fete this Schedule, If not shown above, will be shown in the Declarations. <br /> A. Section II —Who Is An Insured is amended to 2. If coverage provided to the additional insured <br /> Include as an additional insured the person(s) or is required by a contract or agreement, the <br /> organization(s) shown in the Schedule, but only insurance afforded to such additional Insured <br /> with respect to liability for "bodily injury", will not be broader than that which you are <br /> "property damage" or "personal and advertising required by the contract or agreement to <br /> injury"caused, In whole or in part, by: provide for such additional Insured. <br /> 1. Your acts or omissions; or B. With respect to the Insurance afforded to these <br /> 2. The acts or omissions of those acting on your additional insureds, the following additional <br /> behalf; exclusions apply: <br /> in the performance of your ongoing operations This insurance does not apply to"bodily injury"or <br /> for the additional insured(s) at the location(s) "property damage"occurring after: <br /> designated above. 1. All work, including materials, parts or <br /> However: equipment furnished In connection with such <br /> work, on the project (other than service, <br /> 1. The insurance afforded to such additional maintenance or repairs)to be performed by or <br /> insured only applies to the extent permitted on behalf of the additional insured(s) at the <br /> by law; and location of the covered operations has been <br /> completed; or <br /> CG 20 10 0413 O insurance Services Office, Inc,, 2012 Page 1 of 2 <br />