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POLICY NUMBER: 04-PO23-01-25 COMMERCIAL GENERAL LIABILITY LUM-145 02 06 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BROAD FORM ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. Broad Form Additional Insured Paragraph 2. of Section II - Who Is An Insured of Commercial General Liability Coverage Form CG 00 01 is amended to add the following: e. Additional Insured by Written Contract or Written Agreement The following are insureds under the policy when you have agreed in a written contract or agreement to provide them coverage as additional insureds under your policy: (1) Lessors of Leased Equipment: person(s) or organization(s) who lease equipment to you, but only - with respect to their liability for "bodily injury', "property damage" or "personal and advertising injury' arising out of or caused, in whole or in part, by the maintenance, operation or use of such - equipment by you, your "employees", "temporary workers" or "volunteer workers". With respect to the insurance afforded to these additional insureds, this insurance does not apply to any "occurrence" which takes place after the equipment lease expires. (2)- Owners, Managers or Lessors of Premises or Land: any owner, manager or lessor of premises or land, but only with respect to their liability arising out of or caused, in whole or in part, by ownership, - _ maintenance or use of that part of such premises or land leased to you. This insurance does not apply to: - (a) Any "occurrence" which takes place after you cease to be a tenant or lessee of such premises or land; or (b) Structural alterations, new construction or demolition operations performed by or on behalf of the owner, manager or lessor of such premises or land. (3) Mortgagees, Assignees or Receivers: any person(s) or organization(s) with respect to their liability as your mortgagee, assignee or receiver and arising out of their ownership, maintenance or use of your premises. This insurance does not apply to: Any structural alterations, new construction or demolition operations performed by you or others for such person or organization. (4) Any person or organization, other than a joint venture, for whom you have agreed by written contract to provide "bodily injury' or "property damage" liability insurance, but only for liability arising out of or caused, in whole or in part, by operation(s) performed by you or on your behalf, provided that: (a) This Subparagraph (4) does not apply to any agreement to provide insurance to: (1) Any "employee", association of "employees" or labor union, except with respect to work performed by or for you or for such "employee", association of "employees" or labor union under direct contract between you as contractor and such "employee", association of "employees" or labor union as owners; Pennsylvania Lumbermens Mutual Insurance Company LUM-145 02 06 Philadelphia, Pennsylvania Page 1 of 3