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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 - SCHEDULED PERSON OR <br /> ORGANIZATION <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> Names 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 <br /> this Coverage Part, provided that such written contract was signed by you before,and is in effect when, <br /> the "bodily injury"or"property damage" occurs or the "personal injury"or"advertising injury"offense is <br /> committed. <br /> Location of Covered Operations: <br /> Any project to which a written contract with the Additional Insured Person(s)or Organization(s) in the <br /> Schedule applies. <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 in- This insurance does not apply to "bodily injury" or <br /> clude as an additional insured the person(s) or "property damage" occurring, or "personal injury" <br /> organization(s) shown in the Schedule, but only or "advertising injury" arising out of an offense <br /> with respect to liability for"bodily injury", "property committed, after: <br /> damage", "personal injury" or "advertising injury" 1. All work, including materials, parts or equip- <br /> caused, in whole or in part, by: ment furnished in connection with such work, <br /> 1. Your acts or omissions; or on the project (other than service, mainte- <br /> 2. The acts or omissions of those acting on your nance or repairs) to be performed by or on <br /> behalf; behalf of the additional insured(s) at the loca- <br /> tion of the covered operations has been com- <br /> in the performance of your ongoing operations for pleted; or <br /> the additional insured(s) at the location(s) desig- <br /> nated above. 2. That portion of "your work" out of which the <br /> injury or damage arises has been put to its in- <br /> B. With respect to the insurance afforded to these tended use by any person or organization <br /> additional insureds, the following additional exclu- other than another contractor or subcontrac- <br /> sions apply: for engaged in performing operations for a <br /> principal as a part of the same project. <br /> RiskMw aganentDMsbn <br /> CG D3 61 03 05 REnD&RPPROVmBY. <br /> Copyright 2005 The St. Paul Travelers Companies, Inc.All rights re; `®` Risk Management Specialist <br /> CG T8 06 12 231ncludes copyrighted material of Insurance Services Office, Inc. with its K <br /> DATE OF ISSUE: 11/14/2023 Page 1 of 1 <br />