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POLICY NUMBER: cPs2774377 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or O rganization(s) Location(s)Of Covered Operations USDA Forest Service CleElum Ranger District 803 West 2nd St. CleElum,WA 98922 Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section I1 -Who Is An Insured is amended to in- B. With respect to the insurance afforded to these elude as an additional insured the person(s) or or- additional insureds, the following additional exolu- ganization(s) shown in the Schedule, but only with sions apply: respect to liability for"bodily injury","property dam- This insurance does not apply to "bodily injury" or age"or"personal and advertising injury"caused, in "property damage"occurring after: whole or in part, by: 1. All work, including materials, parts or equip- 1. Your acts or omissions; or ment furnished in connection with such work, 2. The acts or omissions of those acting on your on the project (other than service, mainte- behalf; Hance or repairs) to be performed by or on in the performance of your ongoing operations for behalf of the additional insured(s) at the loca- the additional insureds) at the location(s) desig- tion of the covered operations has been corn- nated above. pleted; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional in- intended use by any person or organization sured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a princi- 2. If coverage provided to the additional insured pal as a part of the same project. is required by a contract or agreement, the in- surance afforded to such additional insured will not be broader than that which you are re- quired by the contract or agreement to provide for such additional insured. CG 20 10 04 13 Copyright, Insurance Services Office, Inc., 2012 Page 1 of 2 INSURED cg20100913.fap