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<br />~AfA <br /> <br />G-17957 -G99 <br />(Ed. 10101) <br /> <br />.. I '.. <br /> <br />IMPORTANT: THIS ENDORSEMENT CONTAINS DUTIES THAT APPLY TO THE ADDITIONAL <br />INSURED IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUIT. SEE PARAGRAPH <br />C.1. OF THIS ENDORSEMENT FOR THESE DUTIES. <br />ALSO, THIS ENDORSEMENT CHANGES THE CONTRACTUAL LIABILITY COVERAGE WITH <br />RESPECTS TO THE "BODIL Y INJURY" OR "PROPERTY DAMAGE" ARISING OUT OF THE <br />"PRODUCTS-COMPLETED OPERATIONS HAZARD." SEE PARAGRAPH B.3. OF THIS <br />ENDORSEMENT FOR THIS COVERAGE CHANGE. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />CONTRACTOR'S SCHEDULED AND BLANKET ADDITIONAL INSURED <br />ENDORSEMENT WITH LIMITED PRODUCTS - COMPLETED OPERATIONS <br />COVERAGE <br /> <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Designated Project: <br /> <br />Name of Person or Organization: <br /> <br />gj <br />"' <br />~ <br />"' <br /> <br />i <br />ED <br />ED <br />l<l <br />I <br />~ <br /> <br />(Coverage under this endorsement is not affected by an entry or lack of entry in the Schedule above.) <br /> <br />A. WHO IS AN INSURED (Section II) is amended to Declarations of this policy, whichever is less. <br />include as an insured any person or organization, These Limits of Insurance are inclusive of, and not <br />including any person or organization shown in the in addition to, the Limits of Insurance shown in the <br />schedule above, (called additional insured) whom you Declarations. <br />are required to add as an additional insured on this 3. The coverage provided to the additional insured <br />policy under a written contract or written agreement; by this endorsement and paragraph f. of the <br />but the written contract or written agreement must be: definition of "insured contract" under <br />1. Currently in effect or becoming effective during the DEFINITIONS (Section V) do not apply to "bodily <br />term of this policy; and injury" or "property damage" arising out of the <br />"products-completed operations hazard" unless <br />2. Executed prior to the "bodily injury," "property required by the written contract or written <br />damage," or "personal and advertiSing injury," agreement. When coverage does apply to "bodily <br />B. The insurance provided to the additional insured is !,njuryd" or "proP1ertyd damage:' arisinhg oudt" of theh <br />limited as follows: pro ucts-comp ete operations azar suc <br />coverage will not apply beyond: <br />1. That person or organization is an additional <br />insured solely for liability due to your negligence a. The period of time required by the written <br />and specifically resulting from "your work" for the contract or written agreement; or <br />additional insured which is the subject of the b. 5 years from the completion of "your work" on <br />written contract or written agreement. No the project which is the subject of the written <br />coverage applies to liability resulting from the sole contract or written agreement, <br />negligence of the additional insured. <br />whichever is less. <br />2. The Limits of Insurance applicable to the <br />additional insured are those specified in the 4. The insurance provided to the additional insured <br />written contract or written agreement or in the does not apply to "bodily injury,' "property <br /> <br />-- <br />;;;; <br /> <br />= <br />- <br />iiii <br /> <br />- <br />- <br /> <br />- <br />- <br /> <br /> <br />== <br /> <br />== <br /> <br />= <br /> <br />G-17957-G99 <br />(Ed. 10/01) <br /> <br />~3/1 <br /> <br />Page 1 of 2 <br />