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POLICY NUMBER: PRA9698655-08 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 37 04 13 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - COMPLETED OPERATIONS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) <br />Or Organization(s); <br />Location And Description Of Completed Operations <br />Any person or organization who you are required to add <br />Jobsite/Project Name: <br />as an additional insured on this policy under a contract or <br />agreement shall be an insured, but only with respect to <br />that person's or organization's liability arising out of your <br />operations as a "Staffing Service" or premises owned by <br />or rented to you. <br />Duties: <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 />B. With respect to the insurance afforded <br />to these <br />include as an additional insured the person(s) or <br />additional insureds, the following is <br />added to <br />organization(s) shown in the Schedule, but only with <br />Section III - Limits Of Insurance: <br />respect to liability for "bodily injury" or "property <br />If coverage provided to the additional <br />insured is <br />damage" caused, in whole or in part, by "your work" <br />required by a contract or agreement, the most we <br />at the location designated and described in the <br />will pay on behalf of the additional insured <br />is the <br />Schedule of this endorsement performed for that <br />amount of insurance: <br />additional insured and included in the <br />1. Required by the contract or agreement; or <br />"products -completed operations hazard". <br />2. Available under the applicable <br />Limits of <br />However: <br />Insurance shown in the Declarations; <br />1. The insurance afforded to such additional <br />whichever is less. <br />insured only applies to the extent permitted by <br />This endorsement shall not increase the <br />applicable <br />law; and <br />Limits of Insurance shown in the Declarations. <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 <br />by the contract or agreement to provide for such <br />additional insured. <br />CG 20 37 04 13 © Insurance Services Office, Inc., 2012 <br />RlekMaugematt DiWlon <br />[REVIEWED&pAPPR•OtV'®BY[: <br />ol�� j v^^.p zee-N' r MIiYiN�r �. V <br />�' Risk Management Analyst <br />