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Miscellaneous Attachment: M482524 Certificate ID: 21195691 COMMERCIAL GENERAL LIABILITY TC2J-G LSA-9P529930 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - AUTOMATIC STATUS IF REQUIRED BY WRITTEN CONTRACT (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to SECTION II—WHO IS AN INSURED: a.The Additional Insured—Owners, Lessees or Contractors Any person or organization that: —Scheduled Person or Organization endorsement CG 20 10 07 04 or CG 20 10 04 13,the Additional Insured— a.You agree in a written contract or agreement to include as an Owners,Lessees or Contractors—Completed Operations additional insured on this Coverage Part;and endorsement CG 20 37 07 04 or CG 20 37 04 13,or both of b. Has not been added as an additional insured for the same such endorsements with either of those edition dates;or project by attachment of an endorsement under this b. Either or both of the following:the Additional Insured— Coverage Part which includes such person or organization Owners,Lessees or Contractors-Scheduled Person Or in the endorsement's schedule; Organization endorsement CG 20 10,or the Additional is an insured, but: Insured—Owners, Lessees or Contractors—Completed a.Only with respect to liability for"bodily injury"or"property Operations endorsement CG 20 37,without an edition date damage"that occurs,or for"personal injury"caused by an of such endorsement specified; offense that is committed,subsequent to the signing of that the person or organization is an additional insured only if contract or agreement and while that part of the contract or the injury or damage is caused,in whole or in part, by acts agreement is in effect;and or omissions of you or your subcontractor in the b.Only as described in Paragraph(1),(2)or(3)below, performance of"your work"to which the written contract or whichever applies: agreement applies;or (3)If neither Paragraph(1)nor(2)above applies: (1)If the written contract or agreement specifically requires a.The person or organization is an additional insured only if, you to provide additional insured coverage to that person or and to the extent that,the injury or damage is caused by organization by the use of: acts or omissions of you or your subcontractor in the a.The Additional Insured—Owners, Lessees or Contractors performance of"your work"to which the written contract or —(Form B)endorsement CG 20 10 11 85;or agreement applies;and b. Either or both of the following:the Additional Insured— b.Such person or organization does not qualify as an additional Owners,Lessees or Contractors-Scheduled Person Or insured with respect to the independent acts or omissions of Organization endorsement CG 20 10 10 01,or the such person or organization. Additional Insured—Owners, Lessees or Contractors— The insurance provided to such additional insured is subject Completed Operations endorsement CG 20 37 10 01; to the following provisions: the person or organization is an additional insured only if a. If the Limits of Insurance of this Coverage Part shown in the injury or damage arises out of"your work"to which the the Declarations exceed the minimum limits required by the written contract or agreement applies; written contract or agreement,the insurance provided to the (2)If the written contract or agreement specifically requires additional insured will be limited to such minimum required you to provide additional insured coverage to that person or limits. For the purposes of determining whether organization by the use of: CG D6 04 02 19 ©2017 The Travelers Indemnity Company.All rights reserved. Page 1 of 2