Laserfiche WebLink
Additional Insured - Owners, Lessees or Contractors - Scheduled <br />Person or Organization - CC 20 10 04 1.3 <br />Policy Amandment(s) Commercial General Liability <br />Insured: BUTTER ENGINEERING INC <br />Producer: DEALEY, RENTON & ASSOCIATES <br />Policy Number: 8 ti1 MZG 80995613 <br />Effective Date: 06-25-19 <br />I'ltls endorsement modifies insurance provided under the following:. <br />Commercial General Liability Coverage Part <br />Schedule <br />Name Of Additional InsuredPerson(s) Or Organization(s) Location(s) Of Covered Operations <br />As required by written contract <br />lnfonnation required to complete this Schedule, il'not shown above, will be shown in the Declarations. <br />A. Section It -who is An Insured is amended to 2. II' coverage provided to the additional insured <br />Include as an additional insured the person(s) or is required by a contract or agreement, the <br />organization(s) shown in the Schedule, but only insutmnce afforded to such additional insured <br />with respect to Iiability for bodily injury, property will not be broader than that which you are <br />damage or personal and advertising injury caused, required by the contract or agreement to <br />in whole or in Batt, by: provide for such additional insured. <br />1. Your acts or omissions; or <br />2. The acts or omissions of those acting on your <br />behalf; <br />in the perf'ormantce of your ongoing operations for <br />(lie additional iosuml(s) at the location(s) <br />designated above. <br />However: <br />1. The insurance al.:forded to such additional <br />insured only applies to the extent peuniticd <br />by law; and <br />B. 'With respect to the insurance aftbrded to these <br />additional insureds, the following additional <br />exclusions apply: <br />This insumocc does not apply to bodily injury or <br />property damage occurring after: <br />I. All work, including materials, parts or <br />equipment furnished in connection with such <br />work, on the project (other than service, <br />maintenance or repairs) to be performed by <br />or on behalf of the additional insured(s) at the <br />location of the covered operations has been <br />completed; or <br />'ihis Donn most be nawaed to C'hnnge Fmlorsenmu when issued 40 the policy is written. <br />One of the Firemen's Fund Insunnwe Companies as mimed in dle policy REVIEWED & APPROVED <br />By RISk MANAGEMENT DIVISION <br />til'CI'l`IUI' � <br />y Prealdent FR NCI NER,VILLAREAL <br />CG2010 4-13 <br />© Insurance SorvicesOfficc. Inc„ 2012 <br />Page I of 2 <br />