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Darned insured <br />> ndorsement Number <br />Dr. Maureen Sassoon <br />Policy Symbol <br />Policy Number <br />Policy Period <br />Effective Date of Endorsement <br />ECP <br />07/0112016 to 0710112017 <br />0710112016 <br />Issued By (Name of insurance Company) <br />Westchester Surplus Lines Insurance Company <br />Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED ENDORSEMENT - OWNERS, LESSEES OR CONTRACTORS <br />(PRIMARY AND NON - CONTRIBUTORY) <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL_ GENERAL LIABILITY COVERAGE <br />CONTRACTOR'S POLLUTION LIABILITY COVERAGE <br />SCHEDULE: <br />Name of Person or Organization: <br />Any person or organization that is an owner of real property or personal property on which you are performing <br />operations, or a contractor on whose behalf you are performing operations, and only at the specific written request of <br />such person or organization to you, wherein such request is made prior to commencement of operations. <br />no entry appears above, information required to complete this endorsement will be shown in the Declarations as <br />applicable to this endorsement.) <br />SECTION 11 - WHO IS AN INSURED is amended to include: <br />A. SECTION 11 - WHO IS AN INSURED is amended to include as an insured the person or organization shown in the <br />Schedule, but only with respect to liability arising out of your ongoing operations performed for that Insured. <br />B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: <br />2. Exclusions <br />This insurance does not apply to bodily injury or property damage occurring after: <br />(1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other <br />than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of <br />the covered operations has been completed; or <br />(2) That portion of your work out of which the injury or damage arises has been put to its intended use by any <br />person or organization other than another contractor or subcontractor engaged in performing operations for a <br />principal as a part of the same project. <br />C. The coverage provided hereunder shall be primary and not contributing with any other insurance available to those <br />designated above under any other third party liability policy. <br />ENV -3101 (08 -04) Includes copyrighted material of Insurance Services Office, Inc. with its permission <br />Page 1 of 1 <br />