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POLICY NUMBER: HDO G27015189 ENDT. #38 <br />COMMERCIAL GENERAL LIABILITY <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED — OWNERS, LESSEES OR <br />CONTRACTORS (FORM B) <br />This endorsement modifies insurance provided under the following: <br />C�Ze1ul~•L�;ZN►_���1��1�: � M�I_l:ll�`�'L%1�L� �'[rL�,'7G�:�1 <br />SCHEDULE <br />Name of Person or Organization: ANY OWNER, LESSEE OR CONTRACTOR WHOM YOU HAVE <br />AGREED TO INCLUDE AS AN ADDITIONAL. INSURED UNDER A WRITTEN CONTRACT, PROVIDED <br />SUCH CONTRACT WAS EXECUTED PRIOR TO THE DATE OF LOSS. <br />(If no entry appears above, information required to complete this endorsement would.be <br />shown in the Declarations as applicable to this endorsement.) <br />WHO IS AN INSURED (Section 11) is amended to include as an insured the person or <br />organization shown in the Schedule, but only with respect to liability arising out of "your <br />work" for that insured by or for you. <br />CG 20 10 1185 Copyright, insurance Services Office, Inc., 1984 <br />Attachment Cade; D446557 <br />Master ID: 1306000, Certificate ID: 11076601 <br />