Laserfiche WebLink
~Avr•23. 2004 10 26AM INS CENTER-HARBOR INSURANCE No•8040 P• 4 <br />^~ REPRINIE~ FROM THE FORNS LIBRpRY^ <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY . <br />ADDITIONAL INSURED -OWNERS, LESSEES BP 7g 32 12 99 <br />OR CONTRACTORS BUSINE55OWNERS <br />This endorsement modHies insurance provided under the following: <br />BUSINESSOWNERS LIABILITY COVERAGE FORM <br />5CHEDULE <br />Name of Person ar OrganlzaMon: <br />(If no entry appears above, infonnalion required ro complete this endorsement will be stwwn in the Dedarations as applicable <br />to ibis endorsement.) <br />WHO 15 AN IN5URED (Paragraph C) is amended to indude as an insured the person or organization shown in the Schedule, <br />but only with rasped io liability arising out of 'your work' for That insured by or for you. <br />BP 70 32 12 99 <br />f5: ~: <br />