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POLICY NUMBER: 72 csr; P32911 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <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 : <br />Designated Project(s) Or Location(s) <br />Of Covered Operations: <br />Any person or organization from whom you <br />are required by written contract or <br />age-eement. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. VMth respect to those person(s) or organization(s) <br />(3) In connection with "your work" for the <br />shown in the Schedule above when you have <br />additional insured at the project(s) or <br />agreed in a written contract or written agreement <br />location(s) designated in the Schedule <br />to provide insurance such as is afforded under this <br />and included within the "products - <br />policy to them, Subparagraph f., Any Other <br />completed operations hazard", but only if: <br />Party, under the Additional Insureds When <br />(a) The written contract or written <br />Required By Written Contract, Written <br />agreement requires you to provide <br />Agreement Or Permit Paragraph of Section II — <br />such coverage to such additional <br />Who Is An Insured is replaced with the following: <br />insured at the project(s) or location(s) <br />f. Any Other Party <br />designated in the Schedule; and <br />Any other person or organization who is, not <br />(b) This Coverage Part provides <br />an insured under Paragraphs a. through e. <br />coverage for "bodily injury" or <br />above, but only with respect to liability for <br />"property damage" included within the <br />"bodily injury", "property damage" or "personal <br />"products -completed operations <br />and advertising injury" caused, in whole or in <br />hazard". <br />part, by your acts or omissions or the acts or <br />The insurance afforded to the additional <br />omissions of those acting on your behalf: <br />insured shown in the Schedule applies: <br />(1) In the performance of your ongoing <br />(1) Only if the "bodily injury" or 'property <br />operations for such additional insured at <br />damage" occurs, or the 'personal and <br />the projects) or location(s) designated in <br />advertising injury" offense is committed: <br />the Schedule; <br />(a) During the policy period; and <br />(2) In connection with your premises owned <br />(b) Subsequent to the execution of such <br />by or rented to you and shown in the <br />written contract or written agreement; <br />Schedule; or <br />and <br />Form HIS 24 80 07 13 <br />Page 1 of 2 <br />© 2013, The Hartford <br />(Includes copyrighted material of Insurance Services <br />Office, Inc., with its permission) <br />