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Attachment Code:D563840 Certificate ID: 16059509 <br /> Policy Number:EPK-142587 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - <br /> SCHEDULED PERSON OR 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) Or Location(s) of Covered Operations <br /> Organization(s): <br /> Blanket when specifically required in a written contract with Blanket when specifically required in a <br /> the named insured. written contract with the named insured. <br /> Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br /> A. Section III — Who Is An Insured within the Common With respect to the insurance afforded to these additional <br /> Provisions is amended to include as an additional insured insureds,the following additional exclusions apply: <br /> the person(s) or organization(s) shown in the Schedule, This insurance does not apply to "bodily injury" or <br /> but only with respect to liability for"bodily injury", "property "property damage"occurring after: <br /> damage" or "personal and advertising injury" cause, in 1. All work, including materials, parts or equipment <br /> whole or in part, by: furnished in connection with such work, on the project <br /> 1. Your acts or omissions;or (other than service, maintenance or repairs) to be <br /> 2. The acts or omissions of those acting on your behalf; performed by or on behalf of the additional insured(s) <br /> in the performance of your ongoing operations for the at the location of the covered operations has been <br /> additional insured(s)at the location(s)designated above. completed;or <br /> 2. That portion of "your work" out of which the injury or <br /> damage arises has been put to its intended use by <br /> any person or organization other than another <br /> contractor or subcontractor engaged in performing <br /> operations for a principal as a part of the same <br /> project. <br /> Risk ManagetnentDivision <br /> .44 REVIEWED&APPROVED BY: �f <br /> x = <br /> EN0321-0211 '�rFA'tl iiZEIME__ t� c Aceua a <br /> Risk Management Specialist _JSH <br /> 1 <br />