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Policy Number: EMP1900099806 COMMERCIAL <br /> GENERAL LIABILITY <br /> CG 20 10 07 04 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - OWNERS, LESSEES OR <br /> CONTRACTORS - SCHEDULED PERSON OR <br /> ORGANIZATION <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> Name Of Additional Insured Person(s) <br /> Or Or anization s : Locations Of Covered Operations <br /> Any person(s) or organization(s)whom the Named <br /> Insured agrees, in a written contract, to name as an <br /> Additional insured. However, this status exists only <br /> Tor the project specified in that contract. <br /> Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br /> A. 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", "property <br /> damage" or"personal and advertising injury" caused, in whole or in part, by: <br /> 1. Your acts or omissions; or <br /> 2. The acts or omissions of those acting on your behalf; <br /> in the performance of your ongoing operations for the additional insured(s) at the location(s) <br /> designated above. <br /> B. With respect to the insurance afforded to these additional insureds, the following additional <br /> exclusions apply: <br /> This insurance does not apply to"bodily injury" or"property damage" occurring after: <br /> 1. All work, including materials, parts or equipment furnished in connection with such work, on <br /> the project(other than service, maintenance or repairs)to be performed by or on behalf of the <br /> additional insured(s) at the location of the covered operations has been completed; or <br /> 2. That portion of"your work" out of which the injury or damage arises has been put to its <br /> intended use by any person or organization other than another contractor or subcontractor <br /> engaged in performing operations for a principal as a part of the same project. <br /> orz,N�F RiskMougementDMsian <br /> r' REVIEWED&APPROVED BY. <br /> x <br /> °� tczvac <br /> ® Risk Management Specialist <br /> CG 20 10 07 04 <br />