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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 />SCHEDULE <br />Name Of Additional Insured Persons) <br />Or Or anization s <br />Location And Description Of Completed Operations <br />Any owner, lessee, or contractor for whom you <br />Any location listed in such agreement. <br />have agreed in writing prior to a loss to provide <br />liability insurance. <br />Information re wired to com lete this Schedule, if not shown above, will be shown in the Declarations. <br />Section 11 —Who Is An Insured is amended to include as an additional insured the persons) or organizations) <br />shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or <br />in part, by "your work" at the location designated and described in the schedule of this endorsement performed for <br />that additional insured and included in the "products- completed operations hazard ". <br />This endorsement is executed by the company below designated by an entry in the box opposite its name <br />[ ]LIBERTY MUTUAL INSURANCE COMPANY <br />Premium [ X ]LIBERTY MUTUAL FIRE INSURANCE COMPANY <br />[ ]LIBERTY INSURANCE CORPORATION <br />Ef %cove Date: 71/2011 Expiration Date: 7/1/2012 [ ] LM INSURANCE CORPORATION <br />[ ]THE FIRST LIBERTY INSURANCE CORPORATION <br />For attachment to Policy No.: TB2- 661 - 039499 -01 l <br />Audit Basis= <br />Issued to: West Coast Arborists Inc <br />SEC RETA RY PR ESID GN T <br />Countersigned by ... ... ... ... ... ... ... _.._. _..._ __ ._. __. ___ .._ __. <br />Authorized Representative <br />Issued: <br />Sales Office and No. <br />CG 20 37 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 D <br />