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Policy Number: USL00159322 COMMERCIAL GENERAL LIABILITY <br />Effective Date: January 01, 2022 <br />CG20100413 <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) <br />Locations Of Covered Operations <br />Any owner, lessee or contractor for whom <br />Locations that are listed in the written <br />you are performing operations when you <br />contracts or agreements stated on the left <br />and such owner, lessee or contractor have <br />side of this SCHEDULE. <br />agreed in writing in a contract or agreement <br />that such owner, lessee or contractor <br />should be added as an additional insured <br />on your policy. <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 2. If coverage provided to the additional insured is <br />include as an additional insured the person(s) or required by a contract or agreement, the <br />organization(s) shown in the Schedule, but only insurance afforded to such additional insured <br />with respect to liability for "bodily injury", "property will not be broader than that which you are <br />damage" or "personal and advertising injury" required by the contract or agreement to <br />caused, in whole or in part, 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 performance of your ongoing operations for <br />the additional insured(s) at the location(s) <br />designated above. <br />However: <br />The insurance afforded to such additional <br />insured only applies to the extent permitted by <br />law; and <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) at the <br />location of the covered operations has been <br />completed; or <br />CG 20 10 04 13 © Insurance Services Office, Inc., 2012 <br />ew cF RAMwagementDMsian <br />Jy/\'x REVIEWED & APPROVED BY.- <br />V"° <br />--� Risk janagement Analyst <br />