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POLICY NUMBER:680-51-1737478 COMMERCIAL GENERAL LIABILITY <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 /> SCHEDULE <br /> Name Of Additional Insured Person(s) Or Organization(s): <br /> Any person or organization that you agree in a written contract to include as an additional insured on this Coverage <br /> Part for"bodily injury"or"property damage" included in the products-completed operations hazard, provided that <br /> such contract was signed by you before, and is in effect when, the "bodily injury or"property damage" occurs. <br /> Location And Description Of Completed Operations <br /> Any project to which a written contract with the Additional Insured Person(s)or Organization(s) in the Schedule applies. <br /> Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br /> Section II — Who Is An Insured is amended to in- location designated and described in the schedule of <br /> clude as an additional insured the person(s) or or- this endorsement performed for that additional in- <br /> ganization(s) shown in the Schedule, but only with sured and included in the "products-completed opera- <br /> respect to liability for "bodily injury" or "property dam- tions hazard". <br /> age" caused, in whole or in part, by "your work" at the <br /> Risk Management DMsim <br /> x <br /> REVIEWED&APPROVED BY: <br /> CG 20 37 07 04 <br /> ® Risk Management Specialist <br /> CG T8 04 12 23 © ISO Properties, Inc., 2004 <br /> DATE OF ISSUE: 11/14/2023 Page 1 of 1 <br />