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<br />ADDITIONAL INSURED-OW~ERS.. LESSEES OR CONTRACTORS (FORM B) <br /> <br />This endorsement modifoes insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br />SCHEDULE <br /> <br />Name of Person or Organization: <br />Any person or Organization Subject \0 Section II (Who is an Insured) <br />That the Named Insured Is Required by Valid Contract to name as an Additional <br />Insured per Schedual on fila with tile company <br /> <br />(If nO entry appears above, Information required to complete this endorsement will be shown in the Declarations as <br />applicable to this endorsement.) . <br /> <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the <br />Schedule, but only with respect to liability arising out of 'your work' for that Insured by or for you. <br /> <br />~.?f' <br /> <br />J ,~. ,.-:-- . B' ~'-.-':/ <br /> <br />CL 246 (11-85) <br />CG20101185 <br /> <br />Copyright, Insurance Services Office, Inc., 1984 <br /> <br />Page 1 of 1 <br /> <br />E'd <br /> <br />1:1''111 <br /> <br />dSG:I0 VO ¿O das <br />