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POLICY NUMBER: BCS0039983 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 37 12 19 <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 />PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) <br />Or Organization(s) <br />Location And Description Of Completed Operations <br />ANY PERSON OR ORGANIZATION WHEN <br />ALL LOCATIONS <br />REQUIRED BY WRITTEN CONTRACT OR <br />AGREEMENT, EXECUTED PRIOR TO THE <br />OCCURRENCE TO WHICH THIS INSURANCE <br />APPLIES, THAT SUCH PERSON OR <br />ORGANIZATION BE ADDED AS AN ADDITIONAL <br />INSURED ON YOUR POLICY <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section 11 — Who Is An Insured is amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only <br />with respect to liability for "bodily injury" or "property <br />damage" caused, in whole or in part, by "your work" <br />at the location designated and described in the <br />Schedule of this endorsement performed for that <br />additional insured and included in the "products - <br />completed operations hazard". <br />However: <br />1. The insurance afforded to such additional <br />insured only applies to the extent permitted by <br />law; and <br />2. If coverage provided to the additional insured is <br />required by a contract or agreement, the <br />insurance afforded to such additional insured <br />will not be broader than that which you are <br />required by the contract or agreement to provide <br />for such additional insured. <br />CG 20 37 12 19 © Insurance Services Office, Inc., 2018 <br />Rkk Maragenwil DiMSIM <br />REVIEWED & APPROVEDBY: <br />��'� <br />Risk Management Specialist <br />