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Attachment B — Sample Additional Insured Endorsement, Completed Operations <br />POLICY NUMBER — <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 3710 01 <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 />SCHEDULE <br />Now of Person or Organization: The City of Rancho Cucamonga, it's Officers, Officials, Employees, <br />designated Volunteers and agents serving as Independent contractors in the role of City officials. <br />Atkin: Public Works <br />10500 Civic Center Dr. <br />Rancho Cucamonga, CA 01730 <br />Description of Completed <br />Premium: Included <br />(If no entry appears above, infonneton required to complete this endorsement will be shown In the Declaretiore as <br />applicable to this endorsement.) <br />Section 11 — Who Is An Insured 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 wwk" at the location designated and described in the <br />schedule of this endorsement performed for that insured and included in the "products -completed operations ha- <br />zard' <br />CG 20 37 10 01 ® ISO Properties, Inc., 2000 P 1 of 1 <br />Ye don /nldals <br />PSA withoul profession! liability insurance (contractor) Page 16 <br />Last Revised: 05122114 <br />25E-21 <br />