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1332009009 76400031 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />BLANKET ADDITIONAL INSURED <br />This endorsement modifies insurance provided =du the following: <br />COMMERCIAL GENERAL LIABILITY CO \'ER.iGE FORM <br />SECTION II - WHO IS AN INSURED is amended to include as an insured ans person or organization Eon whom you have <br />agreed in writing to provide Sebilin- insurance. Sur. <br />;he insurance provided by this amendment <br />1. Applies only to "bod v iaiuq•" or "propertt• damagc" arising out of (a) "roar work" or (b) premises or other property owned <br />by or tented to vm; <br />2. Applies only to coverage and minimom limits of inatuance required br the written agreement, but in no event exceeds tither <br />the scope of coverage or the limits of insurance provided by this pobn'; and <br />3. Dads not apply to any person or organization for whom v'ou have procored separate liability insurance while such insurance is <br />in effect, regardless of whether the scope of coverage or limits of insurance of this pobey cueed those of such other msorance <br />or whether such other insurance is vabd and collectible. <br />The following provisions also apply. <br />I. \Care the applicable written agreement requires the insured to provide liability insurance on a primary, excels, contingent, Or <br />am other basis, his polies will apply soklp on the basis regoired by such uritmn agreement and Item 4. Othcx Insurance of <br />tiECTION I\' of this pohcv wdl nor spph. <br />2. AX hcrc the applicable written agreement does not specify on what basis the liability jnsornncc sill apply. the provisions of Item <br />4, Other Insurance of SECTION 1 *7 of this policy will govern. <br />3 11us endorsement shall not apply to any person or organisation for awn• "bodily 6ijurr" or "property damage" if any` other <br />Additional insured endorsement on this policy applies to that person or orgatvzation with regard to the "bodily injury" or <br />"pzoperty damage', <br />4. If any other additional insured endorsement apptirs to any person or organizanon and you are obligated under a written <br />agreement to provide liabilin• msoranee on s peirnan•, excess, contingent, or any other basis for that adchtionat insured, this <br />pobcg will apply solely on the basis tegoirrd by such wsittan agrenmem w J item 4. Orlfor Ina Xincc of 8LCf3OI`! 11' of doll <br />Polley win not apply, regardless of whether the person or organization has available other valid and collectible insurance. If <br />the applicable written agreement does nor specify on what basis the liability insurance will apply, the provisions of Item 4. <br />Other haorance of SECTI ON W of this policy will grn•em. <br />lTls endoivmenr w mz wd b;' the LIBERTY MUTUAL FIRE INSURANCE COMPANY <br />Prenuum S <br />3%dketi,�r llat. <br />via mosi,p+yat m r „err �,,. <br />.iu{i,i E1anc <br />L,,w4 T” <br />Iss d <br />LN 20 0106 05 <br />I:grin>;,m 13aw <br />TB2.661- 039499 -019 <br />Saks Ufi¢cand S". <br />�tx* A z� ;;Zv- <br />SYCR7,rN1 pxr;,grmxA <br />AuiM"s.sJ arpm.raniar <br />limL "trial Nrs 18 <br />