LOENGREEN, INC. (COUNCIL CHAMBERS ADA RESTROOM AND TRANSLATION BOOTH REMODEL)

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POLICY NUMBER: CSC0000696 COMMERCIAL GENERAL LIABILITY CG20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations Any person or organization to whom the Named Insured Where specified by fully executed written contract. has agreed by a fully executed written contract that such person or organization be added as an Additional Insured, but only with respect to operations performed by or on behalf of the Named Insured and only with respect to occurrences subsequent to the making of such fully executed written contract otherwise covered by this insurance Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to 2. If coverage provided to the additional insured include as an additional insured the person(s) or is required by a contract or agreement, the organization(s) shown in the Schedule, but only insurance afforded to such additional insured with respect to liability for "bodily injury", will not be broader than that which you are "property damage" or "personal and advertising required by the contract or agreement to injury" caused, in whole or in part, by: provide for such additional insured. 1. Your acts or omissions; or B. With respect to the insurance afforded to these additional insureds, the following additional 2. The acts or omissions of those acting on your behalf; exclusions apply: in the performance of your ongoing operations This insurance does not apply to "bodily injury" or for the additional insured(s) at the location(s) "property damage" occurring after: designated above. 1. All work, including materials, parts or However: equipment furnished in connection with such work, on the project (other than service, 1. The insurance afforded to such additional maintenance or repairs)to be performed by or insured only applies to the extent permitted on behalf of the additional insured(s) at the by law; and location of the covered operations has been completed; or / \ Risk Management Division q% "`r 3?/ 11% RE.lEwEor&APPROVED BY: of 'y A4 L A evvk ®. Risk Management Specialist / CG 20 10 0413 © Insurance Services Office, Inc., 2012 Page 1 of z