Laserfiche WebLink
POLICY NUMBER:PK202100009523 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 10 07 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - SCHEDULED PERSON CAR <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 Organ izations . <br />Locations Of Covered Operations <br />Any ,person or organization whom you are required to <br />As per written contract or written agreement <br />include as <br />an additional insured on this policy under a written contract <br />or <br />written agreement; but the written contract or written <br />agreement must be: <br />1. Currently in effect or becoming effective during the term <br />of this policy; and <br />2. Executed prior to the "occurrence." <br />Information re uired to complete this Schedule, if not shown above, will be shown in the Declarations, <br />A. Section it - 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 <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 />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 <br />the additional insured(s) at the location(s) <br />designated above, <br />B. With respect to the insurance afforded to these <br />additional insureds, the following additional <br />exclusions 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 <br />work, on the project (other than service, <br />maintenance or repairs) to be performed by or <br />on behalf of the additional insured(s) of the <br />location of the covered operations has been <br />completed; or <br />2. That portion of "your work" out of which the <br />injury or damage arises has been put to its <br />intended use by any person or organization <br />other than another contractor or subcontractor <br />engaged in performing operations for a <br />principal as a part of the same project. <br />CG 20 10 07 04 © ISO Properties, Inc., 2004 <br />REVIEW® 6 A-madm Sr. <br />��' �1 %au �sen4acs <br />MEW Risk Mamgem tClmn l/ilde <br />`; 7 <br />