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POLICY NUMBER: HDO G27874265 <br />Endorsement Number: i <br />COMMERCIAL GENERAL LIABILITY <br />CG 2010 0413 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) <br />Any Owner, Lessee or Contractor whom you have <br />All locations where you are performing operations for <br />agreed to include as an additional insured under a <br />such additional insured pursuant to any such written <br />written contract, provided such contract was executed <br />contract. <br />prior to the date of loss. <br />Infori-na 11 tion required to complete this Schedule, if not sho�n <br />above,wiii.be shown in the Declarations, <br />A. Section U~Who Is An Insured is amended to <br />include as an additional Insured the person(s) or <br />orgenization(s) shown in the Schedule, but only <br />with respect to liability for "bodily injury", "property <br />damage" or "personal and advertising injury" <br />caused, In whole or in part, by: <br />B. With respect to the insurance afforded to these <br />additional insureds, the following additional <br />exclusions apply: <br />1. Your acts oromissions; or <br />2. The acts or omissions of those acting on your ` <br />behalf; <br />In the performance ofyour ongoing operations for <br />the additional |naUnad(a) at the location(s) <br />designated above, <br />However: <br />1^ The insurance afforded to such additional <br />insured only applies tothe extent permitted by <br />law; and <br />2. If coverage provided to the additional insured is <br />naqu|nad by a contract or agreement, the C. <br />insurance afforded to such additional insured <br />will not be broader than that which you are <br />required by the contract or agreement to <br />provide for such additional insured. <br />This Insurance "bodily Injury" or <br />"onopertydamage" occurring after: <br />1. All work, including mebaMa!s, parts or <br />equipment furnished in connection with such <br />woyk, or) the project (other than umm|ce. <br />maintenance or repairs) to be performed by or <br />on behalf of the additional insured(s) at the <br />location of the covered operations has been <br />completed; or <br />2. That portion of "your vvo[k' out of vYh|uh the <br />injury or doOno8e arises has been put to its <br />|Ouandmd use by any person or organization <br />other than another contractor or subcontractor <br />wnQaQao in performing operations for G <br />principal asopart ofthe same project. <br />With respect to the insurance afforded to these <br />additional insureds, the following \s added to <br />Section III — Limits OfInsurance: <br />If coVannga provided to the additional insured is <br />[aqU|ned by g nuOtnaot or agreement, the most we <br />C0 20 10 04 13 @ |DsUngDoe Services Office, Inc,, 2012 Pmmm 1 of <br />