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Narnedlnsured: WamMsposaltuc. <br />POLICY NUMBER, 60425093 <br />CG 20101q 1211 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE. BEAD IT CAREFULLY. <br />ADDITIONAL CONTRACTORS <br />M n <br />ii <br />This endorsementModifies1£ provided underfollowlngz <br />COMMERCIAL <br />BUSINESSOMNERS COVERAGE FORM PRERIUM <br />SCHEDULE <br />NAME OF FEMN OR ORMIZATION <br />Any person or organization to venom or to whim <br />the named Insured Is Obligated by a virtue of a <br />written contract to provide Insurance that is <br />afforded by this polloy, Where required by <br />contract, the Officers, ofNclals, employees, <br />directors, subsidiaries, partners, successors, <br />parents, dluisfons, architects, surveyors and <br />engineers are included as addtttonailnsureds. <br />All other witilles, Including but not limited to <br />agetiis, volunteers, servants, members and <br />partnerships are included as additional Insureds, <br />If required by contract, only when acting within <br />the course and amps of their duties controlled <br />and supervised by the primrary (first) additional <br />Insured. if an Owner Controlled Insurance <br />Prograin is involved, the coverage applies to Off <br />site operations only. ff the purpose of We <br />endorsement is for bid purposes only, then no <br />coverage applies. <br />ISAi4INSUREQ: (Section II) <br />Tills section Is amended to Indude as an <br />Insured the person or Organization within the <br />scope of the qualifying language above, but only <br />to the wtent that the person or organization Is <br />held Ilable for your acts or omissions In the <br />course of "your work" for that person or <br />cagranizallon by or for you. The 'products - <br />completed operations hazard" portion of the <br />policy coverage as rospects the additional <br />Insured does not apply to any work involving or <br />related to properties Intended for residential or <br />habitational occupancy (other than apartments). <br />This clause does not affect the ^products. <br />completed operations" coverage provided to the <br />named insured(s). <br />�0i <br />the qualifljing language above because of <br />payments we make for injury. <br />LOCATION OF MSi <br />The job location must be within the State of <br />domicile of the named Insured, or within any <br />contiguous state thereto, <br />QES�iPFi�11i OF WORK• <br />The type of work performed must be that as <br />described under classifications In the CGL <br />KR TO GENERAL LIABILITY <br />FORM CG 71 54 01 07 <br />Mien this endorsement applies and when <br />required by written contract, such insurance as <br />is afforded by the general liability policy is <br />primary Insurance and other Insurance shall be <br />excess and shall act contribute to the insurance <br />afforded by this endorsement. <br />E LUSION <br />This Insurance provided to the AddftiOnal Insured <br />does not apply to 'badlly Injury', 'property <br />damage" or 'parsonal and advertising lnjuV <br />arising Out of an architect's, engineer's or <br />surveyor's rendering or failure to render any <br />professional servlcbs, including; <br />1. no preparing, approving, or failing to <br />prepare Or approve, maps, designs, <br />shop drawings, opinions, reports, <br />surveys, ,laid orders, change orders, or <br />drawings and specifications; and <br />2. SupeMsory, Inspection, arohitedural or <br />engineering activilles. <br />Endorsement EFFECTIVE DATE: SEE DEC - <br />Endorsement EXPIRATION DATE; SSE DAC <br />CG 2010tt 1213, lnoiudos oopyriahted materlai of Inairanoo Sorvines OOko, Ino.,wrul to pornfoolon Page 1 of 1 <br />