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Named Insured Endorsement Number <br /> T. Bailey, Inc. <br /> Policy Symbol Policy Number Policy Period Effective Date of Endorsement <br /> GLW 024087566-009 09/01/2017 TO 09/01/2018 09/01/2017 <br /> Issued By(Name of Insurance Company) <br /> Westchester Surplus Lines Insurance Company <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 /> CONTRACTORS 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 /> SECTION II -WHO IS AN INSURED is amended to include: <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 /> C. The coverage provided hereunder shall be primary and not contributing with any other insurance available to <br /> those 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 Page 1 of 1 <br />