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Namedinsurad: W=Dkpoulim <br />POLICY NUMBPA 60425093 <br />CO 2010R 1211 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED — OWNERS, LESSEES OR <br />CONTRACTORS <br />(WITH LIMITED COMPLETED OPERATIONS COVERAGE) <br />This endorsementmodipas Insurance provided under thef0towln0: <br />COMMERCIAL GEl SIM UAZuTY COVERAGE PART pgE pM <br />BIJB0 ESSaWNERSCOVERAGEFORM <br />SCHEDULE <br />t6_0Fe68M0RrS aarrsej= <br />Any person or orparitsUanto whore orio which <br />the nonned banned Is obligated by a virtue of a <br />W ftw OOntW to provide Insurance that Is <br />afforded by this policy. Where mquhW by <br />contact, ft oUbers, ofltdals, employees, <br />daectom, subsidiaries, panders, u=assors, <br />parents, dkAslana, atct&Kbk aurvayors and <br />angineom am Included as additional insureds. <br />AD other enfl les, UtduW4 but not limited to <br />BOOM, vdmttaws, servants, members and <br />If mquulmd by cmftc% a* aaddlilonactIng wlthhIn <br />the course and scope of their dales oortbolled <br />and supwvtsed by the pftary (Ifisi) additional <br />laused. tt an Comer Controlled Insurance <br />Pregram Is Imulved, the coverage applies to offs <br />alto gW&Iona Only. If the purpose Of this <br />andomorneat Is tot bid purposes a*. then no <br />average applies. <br />VMISANINWW-IX(GecIIonlI) <br />This section Is amended to Include as an <br />insured the person or Organtzedon wbhln the <br />scope of the <br />W language above, but only <br />petsen or otpankation In <br />held tlaWe for you acts or cmiselone in the <br />coarse of 'yocs wortr for that person or <br />agaffration by or for you. The products. <br />completed operations h¢aard' pentan of the <br />policy coverage as teepeots lire additional <br />loaned does not apply to any work MvoNhtg or <br />Waited to properties hdatded for msldenum or <br />ha6Nallonal ocaipancy (other than apartments). <br />Thty clause does not affect the 'products• <br />completed operations' coverage provkfed to the <br />named Msured(s). <br />WA OF 6U8R0CAT M-, <br />We Wdve any right of rewvery, w1m required <br />by won st <br />01ia person or ocontract, rgenIZABOA WUhthat vve 1t the sehave �m opeOf <br />to qusibNng language above because of <br />payments We mokefar". <br />LSE;: <br />The jab lecallon must be Within the State of <br />domicile of the named hmured, or wlthln any <br />contiguous side thereto. <br />,10BCRIPTIepi off WOiaC• <br />The type of wont pWfomnod must be that as <br />described under doadilc Bons in the COL <br />e a So Dodwations. <br />R TO GMRAL LIMILM SMED <br />yORM CC 71 54 Ol D? <br />Wham this andorsamod applies and wham <br />mq*ed by written coabact, such Insurance as <br />Is aftonied by the general left policy is <br />01mary i wmnce and other Iranian shag be <br />wma and shall not ecrdribute to the Insurance <br />afforded byd6 andomement. <br />This Insurance provided m the additional insured <br />does not apply to 'body Injury, 'properly <br />damage° or •personal and advertising h*W <br />arLMng out or an archiecl's, engineer's or <br />adveyces rendering or failure to railer any <br />professional seMae% trduding: <br />1. Tho preparing. approving. or talAng to <br />prepare or approve, maps, designs. <br />shop dtuwine, opidorse. repots, <br />surveys, held orders, change orders, or <br />drawings and speciions; and <br />2. SUPWASOrY. irispecUat, embitedwal Or- <br />anohceedng scum". <br />EndasementEFFECTIVEDATt BrA DEC <br />Endorsement EXPIRATION DATE: 013 DEC <br />CS 20 MR 1212 indu&B cOWNh W taWxal athwanu aannaee Oaks, Inc..nmt b permbdan Page 1 of 1 <br />