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POLICY NUMBER:60503512 <br />CG 2010R 1211 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS <br />(WITH LIMITED COMPLETED OPERATIONS COVERAGE) <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />BUSINESSOWNERS COVERAGE FORM PREMIUM Incl <br />SCHEDULE <br />NAME �F pryr$p'r't3R ORGAi\! <br />Any person or organization to whom or to which <br />the named insured is obligated by a virtue of a <br />written contract to provide insurance that is <br />afforded by this policy. Where required by <br />contract, the officers, officials, employees, <br />directors, subsidiaries, partners, successors, <br />Parents, divisions, architects, surveyors and <br />engineers are included as additional Insureds, <br />All other entities, including but not limited to <br />agents, volunteers, servants, members and <br />partnerships are included as additional Insureds, <br />If required by contract, only when acting within <br />the course and scope of their duties controlled <br />and supervised by the primary (first) additional <br />insured. If an Owner Controlled Insurance <br />Program Is Involved, the coverage applies to off - <br />site operations only. If the purpose of this <br />endorsement is for bid purposes only, then no <br />coverage applies. <br />WHO IS AN INm tRM (Section II) <br />This section is amended 10 include as an <br />insured the person or organization within the <br />Scope of the qualifying language above, but only <br />to the extent that the person or organization is <br />held liable for your acts or omissions in the <br />course of "your work" for that person or <br />organization by or for you. The "products. <br />completed operations hazard" portion of the <br />policy coverage as respects the additional <br />insured does not apply to any work involving or <br />related to properties intended for residential or <br />habitational occupancy (other than apartments). <br />This clause does not affect the "products - <br />completed operatlons" coverage provided to the <br />named insured(s). <br />WAIUER OP SUBROr3AT1ON <br />We waive any right of recovery, when required <br />by written contract, that we may have against <br />the person or organization within the scope of <br />CG 2010R 12 11 <br />the qualifying language above because of <br />Payments we make for injury. <br />LOCATION OF JOB <br />The job locat!on must be within the State of <br />domicile of the named insured, or within any <br />contiguous State thereto, <br />_DESCRIPTION OF WORK <br />The type of work performed must be that as <br />described under classifications In the CGL <br />Cavern a Part Declarations. <br />PRlMARY'C A `5 <br />When 'this 'endorsement applies and when <br />required by written contract, such Insurance as <br />Is afforded by the general liability policy is <br />primary Insurance and other insurance shall be <br />excess and shall not contribute to the insurance <br />afforded by this endorsement, <br />EXCLUSION <br />This insurance provided to the additional Insured <br />does not apply to "bodily injury", "property <br />damage" or 'personal and advertising injury" <br />arising out of an architect's, engineer's or <br />surveyor's rendering or failure to render any <br />Professional services, including: <br />1. The preparing, approving, or failing to <br />prepare or approve, maps, designs, <br />shop drawings, opinions, reports, <br />surveys, field orders, change orders, or <br />drawings and specifications; and <br />2. Supervisory spection, architectural or <br />SEE DEC <br />Endorsement "J Fi tOQd j� - SEE DEC <br />s� �" <br />Includes copyrighted material of Insurance Servloes <br />Page 1 of 1 <br />