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POLICY NUMBER: CSC0000696 COMMERCIAL GENERAL LIABILITY <br /> CG 20 37 04 13 <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 /> PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART <br /> SCHEDULE <br /> Name Of Additional Insured Person(s) <br /> Or Organization(s) Location And Description Of Completed Operations <br /> Any person or organization to whom the Named Where specified by fully executed written contract. <br /> Insured has agreed by a fully executed written contract <br /> that such person or organization be added as an <br /> Additional Insured for Completed Operations <br /> Coverage, but only with respect to operations <br /> performed by or on behalf of the Named Insured and <br /> only with respect to occurrences subsequent to the <br /> making of such fully executed written contract <br /> otherwise covered by this insurance. <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 B. With respect to the insurance afforded to these <br /> include as an additional insured the person(s) or additional insureds, the following is added to <br /> organization(s) shown in the Schedule, but only Section III— Limits Of Insurance: <br /> with respect to liability for "bodily injury" or If coverage provided to the additional insured is <br /> "property damage" caused, in whole or in part, by required by a contract or agreement, the most we <br /> "your work" at the location designated and will pay on behalf of the additional insured is the <br /> described in the Schedule of this endorsement amount of insurance: <br /> performed for that additional insured and 1. Required by the contract or agreement; or <br /> included in the "products-completed operations <br /> hazard". 2. Available under the applicable Limits of <br /> However: Insurance shown in the Declarations; <br /> 1. The insurance afforded to such additional whichever is less. <br /> insured only applies to the extent permitted This endorsement shall not increase the <br /> by law; and applicable Limits of Insurance shown in the <br /> Declarations. <br /> 2. If coverage provided to the additional insured <br /> is required by a contract or agreement, the <br /> insurance afforded to such additional insured <br /> will not be broader than that which you are <br /> required by the contract or agreement to <br /> provide for such additional insured. <br /> Risk Management DM$Lon <br /> p REVIEWED&APPROVED BY: <br /> °I A AtiZ4 Acavah+ <br /> �' Risk Management Specialist <br /> J <br /> CG 20 37 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 <br />