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Attachment Code: D544786 Certificate 1D: 10593785 <br />POLICY NUMBER: CGD300084903 COMMERCIAL GENERAL LIABILITY <br />CIS 20 10 04 13 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - SCHEDULED PERSON OR <br />ORGANIZATION <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 />_.. Or Organization(s) Location(s) Of Covered Operations <br />ANY PERSON OR ORGANIZATION THAT YOU ARE REQUIRED IN VARIOUS AS REQUIRED PER WRITTEN CONTRACT. <br />A WRITTEN CONTRACT OR WRITTEN AGREEMENT TO INCLUDE <br />AS AN ADDITIONAL INSURED PROVIDED THE "BODILY INJURY" <br />OR "PROPERTY DAMAGE" OCCURS SUBSEQUENT TO THE <br />EXECUTION OF THE WRITTEN CONTRACT OR WRITTEN <br />AGREEMENT, INCLUDING INDEMNIFICATION AGREEMENTS. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section II — Who Is An Insured is amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only with <br />respect to liability for "bodily injury", "property <br />damage" or "personal and advertising injury" caused, <br />in whole or in part, by: <br />1. Your acts or omissions; or <br />2. The acts or omissions of those acting on your <br />behalf; <br />in the performance of your ongoing operations for the <br />additional insured(s) at the location(s) designated <br />above. <br />However: <br />1. The insurance afforded to such additional insured <br />only applies to the extent permitted by law; and <br />2. If coverage provided to the additional insured is <br />required by a contract or agreement, the <br />insurance afforded to such additional insured will <br />not be broader than that which you are required by <br />the contract or agreement to provide for such <br />additional insured. <br />CIS 20 10 04 13 <br />B. With respect to the insurance afforded to these <br />additional insureds, the following additional exclusions <br />apply: <br />This insurance does not apply to "bodily injury" or <br />"property damage" occurring after: <br />1. All work, including materials, parts or <br />equipment furnished in connection with such work, <br />on the project (other than service, maintenance or <br />repairs) to be performed by or on behalf of the <br />additional insured(s) at the location of the covered <br />operations has been completed; or <br />2. That portion of "your work" out of which the injury <br />or damage arises has been put to its intended use <br />by any person or organization other than another <br />contractor or subcontractor engaged in performing <br />operations for a principal as a part of the same <br />project. <br />© Insurance Services Office, Inc., 2012 <br />Page 1 of 2 <br />P,t9,c. -2- <br />®� y <br />