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Miscellaneous Attachment: M69543 Certificate ID: 14711718 <br />POLICY NUMBER: TB7-691-472101-021 <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 />Name Of Additional Insured Person(s) Or Organization(s): <br />Any person or organization you are required to name as an Additional Insured under this policy <br />under a written contract or agreement, prior to an "occurrence" or offense, where the written <br />contract or agreement obligates you to procure additional insured coverage for the additional <br />insured and uti- lize the July 2004 version of the ISO additional insured endorsement, except <br />where such requirement is prohibited by law. <br />Location and Description of Completed Operations: <br />All locations as required by written contract or agreement, prior to an 'occurrence" or offense <br />where the written contract or agreement obligates you to procure completed operations <br />coverage for the additional insured and utilize the July 2004 version of the ISO additional <br />insured endorsement. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />Section II — Who Is An Insured is amended to include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or <br />"property damage" caused, in whole or in part, by "your work" at the location designated and <br />described in the schedule of this endorsement performed for that additional insured and <br />included in the "products -completed operations hazard". <br />CG 20 37 07 04 <br />, Rifil MowgMi i Diviabn <br />j/44�■ _1, ReAEwm & APPRov¢) Ur. <br />o�tW1 lL.Lt1- ^/Bxi �rQisJ�re <br />Risk NFanagement Clerical Aide <br />