Laserfiche WebLink
Named 1r?suR37 Endamvmvnl Numhar <br />Dr. Maureen Sassoon <br />Pollry Syrnbvl Polity Number PoVOr Pannd Elfedlva Daly of Endoraemvnl <br />EPW G2406tB'14 UD2 1 70 <br />Issued Hy (Name at Insumnm Company) <br />Westchester Surplus Unes Insurance Company <br />Insert the pv?ry number. Tha remainder of the Infonnaeon rs 1v be enmplelvd only when IIJs vndbrsement Is Ivsued subsequent {o the propvmllnn of Iha polity. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED ENDORSEMENT <br />OWNERS, LESSEES OR CONTRAGTORS-SCHEDULED PERSON OR DRGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE <br />CONTRACTOR'S POLLUTION LIABILITY COVERAGE <br />SCHEDULE• <br />1•lama of Person or Omanlzatlom <br />Any parson or arganlzatlon that is an owner of real property or personal property on which you are <br />performing operations, ar a contractor on whose behalf you era performing operations, and only at the <br />specific written request of such person or organization to you, wherein such request Is made prior to <br />commencement of operations. <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations <br />es applicable to this endorserent.) <br />A. SECTION 11 -WHO 1S AN INSURED is amended to include as an insured the parson or organlzatlon <br />shown to the Schedule, but only tv[th respect to liability edsing out of your ongoing operatJons <br />performed for that insured. <br />B. Willi respect to the insurance afforded to these addltlonal Insureds, the following exclusion Is added: <br />Exclusions <br />This Insurance does not apply to bodily injury or property damage occurdng afler_ <br />(7) All work, including materials, parts or equipment furnished In conneclfon wtitr ouch <br />work, on the project (other then service, maintenance ar repairs) to be performed by or <br />on behalf of the addltlonal Insureds) at the site of the covered operations has been <br />competed; or <br />(2) That portion of your work out of which the Injury or damage arises has been put to Its <br />Intended use by any person or organlzallon other than eneiher contractor or <br />subcanlractor engaged In performing operations for a principal as a part of the same <br />project. <br />ENV-35OD (D6-D4) Includes copyrighted mate riot of Insurance Services OHSca, Inc. v?ilh ILS penntsslon Page t of'1