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POLICY 1VUMBER: RB80330675 COMMERCIAL GENERAL LIABILITY <br /> CC 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 Or anization s Locatlon(s)Of Covered Operations <br /> For work performed as part of an insured written contract Location as part of an Insured wrltlen contract <br /> Information required to complete this Schedule,if not shown above,will be shown in the Declarations. <br /> A. Section II — Who Is An Insured is amended to B. With respect to the Insurance afforded to these <br /> Include as an additional Insured the person(s) or additional Insureds, the following additional <br /> organization(s) shown in the Schedule, but only exclusions apply: <br /> with respect to liability for"bodily injury" "property This insurance does not apply to "bodily Injury" or <br /> damage or personal and advertising Injury" "property damage"occurring after: <br /> caused, In whole or in part,by: <br /> 1. Your acts or emissions;or 1. All work, including materials, parts or <br /> equipment furnished in connection with such <br /> 2. The acts or emissions of those acting on your work, on the project (other than service, <br /> behalf-, maintenance or repairs) to be performed by or <br /> in the performance of your ongoing operations for on behalf of the additional insured(s) at the <br /> the additional insured(s) at the location(s) location of the covered operations has been <br /> designated above, completed; or <br /> However: 2. That portion of "your work" out of which the <br /> 1, The insurance afforded to such additional Injury or damage arises has been put to Its <br /> insured only applies to the extent permitted by other than Intended u anotherse by <br /> any person or organization <br /> law;and contractor or subcontractor <br /> engaged in performing operations for a <br /> 2. If coverage provided to the additional insured Is principal as a part of the same project. <br /> required by a contract or agreement, the <br /> insurance afforded to such additional Insured <br /> will not be broader than that which you are <br /> required by the contract or agreement to <br /> provide for such additional insured. <br /> CG 20 10 0413 m Insurance Services Office, Inc.,2012 Page 1 of 2 <br />