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{ <br /> 1 <br /> 1 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURE*J �p-per <br /> OWNERS, LESSEES '. <br /> CONTRACTORS <br /> This endorsement modifies insurance provided under the following: <br /> CONTRACTORS POLLUTION LIABILITY COVERAGE PART <br /> SCHEDULE <br /> Name of Person or Organization: <br /> Any person or organization for whom you are performing operations when you and such person or organization <br /> have agreed in writing in a contract or agreement, effected prior to the date your operations for that person or <br /> organization commenced,that such person or organization be added as an additional insured on your policy. <br /> ail <br /> pi <br /> 1 <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 as an insured the person or organization shown in the <br /> Schedule above, but only with respect to liability caused,in whole or in part,by your operations performed for the <br /> additional insured(s), or premises owned by or rented to you. <br /> 1 <br /> GO 2212—4YA 10-17 Includes copyrighted material of Insurance Services Office,Inc. Page 1 of 1 <br /> with its permission <br /> 1 <br />