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Additional Insured – Owners, Lessees Or Contractors – <br />Completed Operations – Scheduled <br />Policy No.Eff. Date of Pol.Exp. Date of Pol.Eff. Date of End.Producer No.Add’l. PremReturn Prem. <br />GLO1817406-010/01/2010/01/20210/01/2075272000N/AN/A <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under the: <br />Commercial General Liability Coverage Part <br />SCHEDULE <br />Location and Description ofAdditional <br />Name of Person or Organization: <br />CompletedOperations:Premium: <br />Any person or organization to whom or to which you <br />Any location or project, other than a wrap-up or other <br />N/A <br />are required to provide additional insured status in a <br />consolidated insurance program location or project <br />written contract or written agreement executed prior <br />for which insurance is otherwise separately provided <br />to the loss, except where such contract or agreement <br />to you by a wrap-up or other consolidate insurance <br />is prohibited by law. <br />program. <br />Section II –Who Is An Insuredis amended to include as an insured anyperson or organization shown in the Schedule <br />of this endorsement, but only with respect to liability arising out of "your work" at or from the corresponding location <br />designated and described in the Schedule performed for that insured and included in the "products-completed operations <br />hazard". <br />However, if you have entered into a construction contract with anadditional insured person or organization shown in the <br />Schedule of this endorsement,the insurance afforded to such additional insured only applies to the extent permitted by <br />law. <br />All other terms and conditions of this policy remain unchanged. <br />U-GL-1466-DCW(12-13) <br /> <br />Page 1of 1 <br />Includes copyrighted material of Insurance Services Office, Inc.,with its permission. <br /> <br />