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POLICY NUMBER: GL05415704 COMMERCIAL GENERAL LIABILITY <br /> NAMED INSURED: SEE ATTACHED CERTIFICATE CG 20 10 04 13 <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 Person or Organization: <br /> ALL ADDITIONAL INSUREDS OF THE NAMED INSURED AS REQUIRED IN A WRITTEN CONTRACT OR <br /> AGREEMENT EXECUTED PRIOR TO LOSS. <br /> Location(s)Of Covered Operations: <br /> ALL LOCATIONS COVERED UNDER THIS POLICY, FOR LIABILITIES ARISING OUT OF OUR NAMED <br /> INSURED'S ACTIVITIES ONLY. <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 include as an additional insured the person(s)or <br /> organization(s)shown in the Schedule, but only with respect to liability for"bodily injury", "property <br /> damage"or"personal and advertising injury"caused, in whole or in part, by: <br /> 1. Your acts or omissions; or <br /> 2. The acts or omissions of those acting on your behalf; <br /> in performance of your ongoing operations for the additional insured(s)at the location(s) <br /> designated above. <br /> However: <br /> 1. The insurance afforded to such additional insured only applies to the extent permitted by law; <br /> and <br /> 2. If coverage provided to the additional insured is required by a contract or agreement,the <br /> insurance afforded to such additional insured will not be broader than that which you are required <br /> by the contract or agreement to provide for such additional insured. <br /> B.With respect to the insurance afforded to these additional insureds,the following additional exclusions <br /> apply: <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 <br /> the project(other than service, maintenance or repairs)to be performed by or on behalf of the <br /> additional insured(s)at the location 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 <br /> intended use by any person or organization other than another contractor or subcontractor <br /> engaged in performing operations for a principal as part of the same project. <br /> CG 20 10 04 13 Page 1 of 1 <br /> Attachment Code:D522032 <br /> Certificate ID: 14490883 <br />