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Miscellaneous Attachment: M69543 Certificate ID: 14711718 POLICY NUMBER: TB7-691-472101-021 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Any person or organization you are required to name as an Additional Insured under this policy under a written contract or agreement, prior to an "occurrence or offense, where the written contract or agreement obligates you to procure additional insured coverage for the additional insured and utilize the July 2004 version of the ISO additional insured endorsement, except where such requirement is prohibited by law. Location(s) Of Covered Operations: All locations as required by written contract or agreement, prior to an "occurrence" or offense where the written contract or agreement obligates you to procure additional insured coverage for the additional insured and utilize the July 2004 version of the ISO additional insured endorsement. Information required to complete this Schedule, if not shown above, will be shown in the Declarations A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 Risk MowgMi i Diviabn //■�,'� ReAEwm & APPRov¢) Ur. o�tW1 :.I E1- ^/Bxi �rQisJ�re _�y� Risk NFanagement Clerical Aide