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Attachment Code : D446557 Master ID: 1306000, Certificate ID: 11076601 <br />POLICY NUMBER: HDO G71572985 <br />Endorsement Number: 39 <br />COMMERCIAL GENERAL LIABILITY <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS LESSEES OR <br />CONTRACTORS - (Form B) <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br />SCHEDULE <br />Name of Person or Organization: Any Owner, Lessee or Contractor whom you have agreed to include as an <br />additional insured under a written contract, provided such contract was executed prior to the date of loss. <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as <br />applicable to this endorsement.) <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the <br />Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. <br />�F RAManaganen Dmsian <br />z5K REVIEWED & APPROVED BY.- <br />i' <br />--� Risk Management Analyst <br />CG 20 10 1185 Copyright, Insurance Services Office, Inc., 1984 <br />