Laserfiche WebLink
<br />, . <br /> <br />POLICY NUMBER: <br /> <br />COMMERCIAL GENERAL LIABILITY <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br /> <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - COMPLETED OPERATIONS <br /> <br />This endorsement modifies insurance provided under the following: <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br />SCHEDULE <br /> <br />Name of Person or Organization: <br /> <br />"Any person or organization for whom you are performing operations when you and such person or <br />organizations have agreed in writing in a contract our agreement, prior to the performance of these <br />operations, that such person or organization be added as an additional insured on your policy". <br /> <br />Location and Description of Completed Organizations: <br /> <br />See Above <br /> <br />Additional Premium: <br /> <br />(If no entry appears above, information required to complete this endorsement will be shown in the <br />Declarations as applicable to this endorsement,) <br /> <br />Section II - Who Is An Insured is amended to include as an Insured the person or organization shown in <br />the Schedule, but only with respect to liability arising out of "your work" at the location designated and <br />described in the schedule of this endorsement performed for that Insured and included in the "products- <br />completed operations hazard". <br /> <br />APPROVEU i\S ;') r,(}Rl\1 <br /> <br />~-->/l'-' / <br />~.7;' , ' ' <br />;;/ -/)..) ,:". ,~/~ ...=-----^ <br />- Laura Stit! " <br />'Assistan t CI: \ /',., . <br /> <br />CG 20 37 10 01 <br /> <br />Copyright, ISO Properties, Inc., 2000 <br /> <br />Page 1 of 1 <br /> <br />