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<br />-'.--' " .- <br /> <br />.___. ,_.___.___"'~._~_______ *.....~. Vv", VV.... <br /> <br />POLICY NUMBER: GL 11111932 <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 - (FORM B) <br /> <br />This endorsement modifies Insurance provided under the following: <br /> <br />COMMERCIAL GENERAL LIABiLITY COVERAGE PART. <br /> <br />Name of Person or Organization: <br /> <br />SCHEDULE <br /> <br />Any person or organization that the insured is required <br />by written contract to name as an additional insured. <br /> <br />It is further agreed that such insurance as is afforded by this policy for the benefit of the above Additional <br />Insured(s) shall be primary insurance as respects any claim, loss or liability arising out the Named insured(s) op- <br />erations, and any other insurance maintained by the Additional Insured{s) shall be excess and non-contributory <br />with the insurance provided hereunder. <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 oniy with respect to liability arising out of "your work" for that insured by or for you. <br /> <br />\PPl(~O\i!.l> i\"\ ro l'()l~.. <br /> <br />-Yf!~-9ff <br />;(:;~~ "~'",~ <br /> <br />CG2010 1185 <br /> <br />Copyright, Insurance Services Office, Inc., 1984 <br /> <br />Page 1 of 1 <br /> <br />o <br />