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<br />ADDITIONAL INSURED-OW~ERS.. LESSEES OR CONTRACTORS (FORM B) <br /> <br />This endorsement modifies 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 to Section II (Who is an Insured) <br />That the Nsmed Insured Is Required by Valid Contract to name as an Add~lonal <br />Insured per Schedual on file with the 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 />~~.I:... <br />. " . <br />/'''. ..- . . .,- ---<I <br /> <br />CL 246 (1 HIS) <br />CG20101185 <br /> <br />Copyright, Insurance Services Office, Inc., 1984 <br /> <br />Page 1 of1 <br /> <br />E'd <br /> <br />1 :lEq 11 <br /> <br />dSZ:10 vO ¿o das <br /> <br />