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d <br />z <br />POLICY NUMBER: BKVV1556365248 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 37 04 13 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED -OWNERS, LESSEES OR <br />CONTRACTORS -COMPLETED OPERATIONS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Addkional Insured Persons) Or Organization($) <br />Blanket Additional Insured Agreed <br />Written contrct, agreement, permit <br />1371 Macy Street <br />LA HABRA, CA 90631 <br />Location And Description Of Completed Operations <br />work described in writing in the contract,. <br />agreement or permit <br />Locationis) at which. You performed work described <br />in written contract, agreement or permit <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 <br />include as an additional Insured the person(s) <br />or organizations) shown in the Schedule, but <br />only with respect to liability for "bodily In- <br />jury" or "property damage" caused, in whole <br />or In part; by "your work" at the location des- <br />Ignated and described in the Schedule of this <br />endorsement performed for that additional <br />insured and included In the "products-com- <br />plated operations hazard <br />However: <br />1. The Insurance afforded to such additional <br />insured only applies to the extent permit- <br />ted by law; and <br />2. If coverage provided to the additional In- <br />sured is required by a contract or agree- <br />ment, the Insurance afforded to such <br />additional insured will not be broader <br />than that which you are required by the <br />contract or agreement to provide for such <br />additlonal insured. <br />CG 20 37 04 13 <br />B. With respect to the insurance afforded to <br />these additional insureds, the following Is <br />added to Section III - Limits Of Insurance: <br />If coverage provided to the additional insured <br />is required by a contract or agreement, the <br />most we will pay on behalf of the additional <br />Insured Is the amount of Insurance; <br />1. Required by the contract or agreement; <br />or <br />2. Available under the applicable Limits of <br />Insurance shown In the Declarations; <br />whichever is less. <br />This endorsement shall not Increase the ap- <br />plicable Limits of Insurance shown In the Dec- <br />laratlons. <br />o Insurance Services Office, Inc., 2012 <br />Page 1 of 1 <br />