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POLICY NUMBER: A0230199003 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 37 12 19 <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) <br />Location And Description Of Completed Operations <br />Any person or organization you are required to add as <br />All locations and jobs performed that have a written <br />an additional insured under a written contract or <br />contract, agreement, or permit. <br />agreement in effect prior to any accident, injury, loss <br />or damage. <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 <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only <br />with respect to liability for "bodily injury" or <br />"property damage" caused, in whole or in part, by <br />"your work" at the location designated and <br />described in the Schedule of this endorsement <br />performed for that additional insured and included <br />in the "products -completed operations hazard". <br />However: <br />1. The insurance afforded to such additional <br />insured only applies to the extent permitted by <br />law; and <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 />B. With respect to the insurance afforded to these <br />additional insureds, the following is added to <br />Section III - Limits Of Insurance: <br />If coverage provided to the additional insured is <br />required by a contract or agreement, the most we <br />will pay on behalf of the additional insured is the <br />amount of insurance: <br />1. Required by the contract or agreement; or <br />2. Available under the applicable limits of <br />insurance; <br />whichever is less. <br />This endorsement shall not increase the <br />applicable limits of insurance. <br />CG 20 37 1219 © Insurance Services Office, Inc., 2018 <br />Page 1 of 1 <br />Middlesex Insurance Company <br />1 00001 0000000000 24263 0 N 47fa9bb2-e8db-45fa-a04f-522cebOde319 <br />