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Additional Insured — Owners, Lessees Or Contractors — <br />Completed Operations — Scheduled <br />0 <br />ZURICH <br />Policy No. <br />I Eff. Date of Pol. <br />I Exp. Date of Pol. <br />Eff. Date of End. <br />I Producer No. <br />Addl. Prem <br />Return Prem. <br />GLO 1817406-03 <br />1 10/01/2021 <br />1 10/01/2022 <br />1 10/01/2021 <br />1 75272000 <br />N/A <br />N/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 />Name of Person or Organization: <br />Location and Description of <br />Completed Operations: <br />Additional <br />Premium: <br />Any person or organization to whom or to which you <br />are required to provide additional insured status in a <br />Any location or project, other than a wrap-up or other <br />N/A <br />written contract or written agreement executed prior <br />consolidated insurance program location or project <br />to the loss, except where such contract or agreement <br />for which insurance is otherwise separately provided <br />is prohibited by law. <br />to you by a wrap-up or other consolidate insurance <br />program. <br />Section II — Who Is An Insured is amended to include as an insured any person 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 an additional 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 />Irr�o� <br />�� <br />/�.\ RenEwFn6 AANOYID aY. <br />■ I; 1- %re;D&o <br />ttL��1 RukMar�a9rncnrOmrdlAi� <br />rage I or I <br />Includes copyrighted material of Insurance Services office, Inc., with its permission. <br />