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GENERAL PURPOSE ENDORSEMENT <br />OFFICE PAC <br />POLICY NUMBER: 6806H441235 <br />ISSUE DATE: <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />CGD361 (03-05) - ADDITIONAL INSMED - OWNERS, LESSEES OR CONTRACTORS - <br />SCHEDULED PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - <br />SCHEDULED PERSON OR ORGANIZATION <br />THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />NAMES OF ADDITIONAL INSURED PERSON(S) OR ORGANIZATION(S): <br />Any person or organization that you agree in a written contract to <br />include as an additional insured on this Coverage Part, provided that <br />such written contract was signed and executed by you before,and is in <br />effect when, the "bodily injury" or "property damage" occurs or the <br />"personal injury" or "advertising injury" offense is committed. <br />LOCATION OF COVERED OPERATIONS: <br />Any project to which a written contract with the Additional Insured <br />Person(s) or Organization(s) in the Schedule applies. <br />(INFORMATION REQUIRED TO COMPLETE THIS SCHEDULE, IF NOT SHOWN ABOVE, WILL <br />BE SHOWN IN THE DECLARATIONS.) <br />A. SECTION II - WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN <br />ADDITIONALINSURED THE PERSON(S) OR ORGANIZATION(S) SHOWN IN THE SCHEDULE, <br />BUT ONLY WITH RESPECT TO LIABILITY FOR "BODILY INJURY", "PROPERTY <br />DAMAGE", PERSONAL INJURY OR "ADVERTISING INJURY" CAUSED, IN WHOLE OR IN <br />PART, BY: <br />1. YOUR ACTS OR OMISSIONS; OR <br />2. THE ACTS OR OMISSIONS OF THOSE ACTING ON YOUR BEHALF; IN THE <br />PERFORMANCE OF YOUR ONGOING OPERATIONS FOR THE ADDITIONAL INSURED(S) AT <br />THE LOCATION(S) DESIGNATED ABOVE. <br />B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSURED, <br />THE FOLLOWING ADDITIONAL EXCLUSIONS APPLY:THIS INSURED DOES NOT APPLY TO <br />CG T8 03 10 19 Page 1 of 2 <br />REVIEWED BY: EUNICE HEREDIA (PG OF' <br />