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POLICY NUMBER: BCS2003096 COMMERCIAL GENERAL LIABILITY <br /> CG20101219 <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 Organization(s) Locations Of Covered Operations <br /> ANY PERSON OR ORGANIZATION WHEN ALL LOCATIONS <br /> REQUIRED BY WRITTEN CONTRACT OR <br /> AGREEMENT, EXECUTED PRIOR TO THE <br /> OCCURRENCE TO WHICH THIS INSURANCE <br /> APPLIES, THAT SUCH PERSON OR <br /> ORGANIZATION BE ADDED AS AN <br /> ADDITIONAL INSURED ON YOUR POLICY . <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. All work, including materials, parts or equipment <br /> 1. Your acts or omissions; or furnished in connection with such work, on the <br /> 2. The acts or omissions of those acting on your project (other than service, maintenance or <br /> behalf; repairs) to be performed by or on behalf of the <br /> in the performance of your ongoing operations for additional insured(s) at the location of the <br /> the additional insured(s) at the location(s) covered operations has been completed; or <br /> designated above. 2. That portion of "your work" out of which the <br /> However: injury or damage arises has been put to its <br /> intended use by any person or organization <br /> 1. The insurance afforded to such additional other than another contractor or subcontractor <br /> insured only applies to the extent permitted by engaged in performing operations for a principal <br /> law; and as a part of the same project. <br /> 2. If coverage provided to the additional insured is <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 provide <br /> for such additional insured. <br /> CG 20 10 12 19 C Insurance Services Office, Inc., 2018 Page 1 of 2 <br />