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POLICY NUMBER: 540BW40966 COMMERCIAL GENERAL LIABILITY <br /> CG 20 10 07 04 <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 LIABiL TY COVERAGE PART <br /> SCHEDULE <br /> Name Of Additional Insured Person(s) <br /> Or Organization(s): Location(s)01 Covered Operations <br /> Any person or organization for whom you are Any and all covered locations <br /> performing operations, but only it you have <br /> agreed, in a written contract, to add such person <br /> or organization as an additional insured on your <br /> policy for that location or part thereof, provided <br /> such a written contract is fully executed prior to <br /> an "occurrence" in which coverage is sought <br /> under this policy. <br /> IInformation 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 B. With respect to the insurance afforded to these <br /> include as an additiona' 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, "property This insurance does not apply to "bodily injury" or <br /> damage" or "personal and advertising injury" "property damage" occurring after: <br /> caused, in whole or in part, by: <br /> 1. Your acts or omissions;or 1. All work, including materials, parts or <br /> equipment furnished in connection with such <br /> 2. The acts or omissions of these acting on your work, cc the project (other than service, <br /> behalf; maintenance or repairs) to be performed by or <br /> in the performance of your ongoing operations for on behalf of the additional insured(s) at the <br /> the additional insured(s) at the location(s) location of the covered operations has been <br /> designated above. completed; or <br /> 2. That portion of "your work" out of which the <br /> injury or damage arises has been put to its <br /> intended use by any person or organization <br /> other than another contractor or subcontractor <br /> engaged in performing operations for a <br /> principal as a part of the same project. <br /> CG 20 10 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 0 <br />