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POLICY NUMBER: 41PKG8901918 COMMERCIAL GENERAL LIABILITY <br /> CG 20 37 07 04 <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) <br /> Or Organization(ss: Location And Description Of Completed Operations <br /> ANY PERSON OR ORGANIZATION, <br /> YOU HAVE AGREED BY MEANS <br /> OF A WRITTEN CONTRACT OR <br /> AGREEMENT, TO ADD AS AN <br /> ADDITIONAL INSURED; SUCH <br /> PERSON OR ORGANIZATION IS AN <br /> ADDITIONAL INSURED ON THIS <br /> POLICY. <br /> WHEN REQUIRED BY A WRITTEN <br /> CONTRACT OR AGREEMENT, <br /> COVERAGE AFFORDED TO THESE <br /> ADDITIONAL INSURED PARTIES <br /> WILL BE PRIMARY TO AND NON— <br /> CONTRIBUTORY WITH ANY OTHER <br /> INSURANCE AVAILABLE TO THAT <br /> PERSON OR ORGANIZATION. <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- <br /> clude as an additional insured the person(s) or or- <br /> ganization(s) shown in the Schedule, but only with <br /> respect to liability for "bodily injury" or "property <br /> damage" caused, in whole or in part, by 'your work" <br /> at the location designated and described in the <br /> schedule of this endorsement performed for that \ ' <br /> additional insured and included in the "products- o ,r RiskMarmganeniDivis(c, <br /> completed operations hazard". o=' REVIEWED&APPROVED BY: <br /> ' ii A4•f:c Aca.veki <br /> Risk Management Specialist <br /> CG 20 37 07 04 ©ISO Properties, Inc., 2004 . ..y,, . ... . <br />