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Named Insured <br />ErtdomementNumbar <br />Dr. Maureen Sassoon <br />Policy Symbol <br />Policy Number <br />Policy Period <br />Et7 CUve Date oiadorsement <br />ECP <br />I G24270427 006 <br />07101!20'17 to 07101/2018 <br />0710112017 <br />Issued By (Name of Insurance Company) <br />Westchester Surplus Lines Insurance Company <br />Insert the policy number. The remainder of the lnfaratatlon Is to be completed only when this andorsement is issued subsequent to the preparation ofthe policy. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED ENDORSEWNT <br />OWNERS, LESSEES OR CONTRACTORS—SCHEDULED PERSON OR ORGANIZATION <br />This endorsement modes 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 />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as <br />applicable to this endorsement.) <br />A. SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization shown in <br />the 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 <br />(other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) <br />at the site of 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 <br />any person or organization other than another contractor or subcontractor engaged in performing <br />operations for a principal as a part of the same project. <br />ENV -3100 (08-04) Includes copyrighted materia[ of insurance Services Office, Inc. with its permission Page 1 of 1 <br />