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SCHEDULE <br /> Name Of Additional Insured Person(s) <br /> Or Organization(s) Location(s) Of Covered Operations <br /> Any person or organization with whom you have Any location where you have agreed, through <br /> agreed, through written contract, agreement or writtencontract, agreement or permit, to provide <br /> permit to provide additional insured coverage. additionalinsured coverage <br /> Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br /> CG 20 10 04 13 ©Insurance Services Office, Inc., 2012 Page 2 of 2 <br />