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POLICY NUMBER: GL5268336 COMMERCIAL GENERAL LIABILITY <br /> 04/01/2021 04/01/2022 CG 20101219 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - OWNERS, LESSEES OR <br /> CONTRACTORS - SCHEDULED PERSON OR <br /> ORGANIZATION <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> Name Of Additional Insured Personls) <br /> Or Organization(s) Location(s) Of Covered Operations <br /> ANY PERSON OR ORGANIZATION WHOM YOU PER THE CONTRACT OR AGREEMENT. <br /> BECOME OBLIGATED TO INCLUDE AS AN <br /> ADDITIONAL INSURED AS A RESULT OF ANY <br /> CONTRACT OR AGREEMENT YOU <br /> HAVE ENTERED INTO. <br /> Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br /> A. Section II 6 Who Is An Insured is amended to B. With respect to the insurance afforded to these <br /> include as an additional insured the person(s) or additional insureds, the following additional <br /> organization(s) shown in the Schedule, but only exclusions apply: <br /> with respect to liability for "bodily injury", This insurance does not apply to "bodily injury" <br /> "property damage" or "personal and advertising or "property damage" occurring after: <br /> injury" caused, in whole or in part, by: <br /> 1. All work, including materials, parts or <br /> 1. Your acts or omissions; or equipment furnished in connection with such <br /> 2. The acts or omissions of those acting on work, on the project (other than service, <br /> your behalf; maintenance or repairs) to be performed by <br /> in the performance of your ongoing operations or on behalf of the additional insured(s) at <br /> for the additional insured(s) at the location(s) the location of the covered operations has <br /> designated above. been completed; or <br /> However: 2. That portion of "your work" out of which <br /> the injury or damage arises has been put to <br /> 1. The insurance afforded to such additional <br /> insured only applies to the extent permitted itsany person or <br /> intended use by <br /> organization other than another contractor or <br /> by law; and subcontractor engaged in performing <br /> 2. If coverage provided to the additional operations for a principal as a part of the <br /> insured is required by a contract or same project. <br /> agreement, the insurance afforded to such <br /> additional insured will not be broader than <br /> that which you are required by the contract <br /> or agreement to provide for such additional <br /> insured. <br /> CG 20 10 12 19 q Insurance Services Office, Inc., 2018 Page 1 of 2 <br />