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Certain Underwriters at Lloyds <br />Unique Market Reference B1776BL202300M <br />effective date of this endorsement: <br />05/01/2022 <br />policy number: ENC 0002340-05 <br />Endorsement Number: 04 <br />ADDITIONAL INSURED - OWNERS, LESSORS OR CONTRACTORS - COMPLETED OPERATIONS <br />In consideration of an additional premium of $o, this endorsement modifies insurance <br />provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />All other terms and conditions of this Policy remain unchanged. <br />SCHEDULE <br />Name Of Additional Insured Person(s) Or <br />Organ izations : <br />Location And Description Of Completed <br />Operations <br />Any person(s) or organization(s) where this <br />All project locations where this <br />endorsement is required by contract. <br />endorsement is required by contract. <br />Information required to complete this Schedule, if not shown above, will be shown in the <br />Declarations. <br />Section II - Who Is An Insured is amended to include as an additional insured the person(s) <br />or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" <br />or "property damage" caused, in whole or in part, by "your work" at the location designated <br />and described in the schedule of this endorsement performed for that additional insured <br />and included in the "products -completed operations hazard". <br />CG 20 37 07 04 <br />©Insurance Services Office. Inc. <br />Rit Mgwd DMA <br />ItE E &/1�Br <br />7w P..". <br />RUN MariagemmrOmal Pile <br />