Laserfiche WebLink
POLICY NUMBER: HD O 627403311 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 />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name of Person or organization', ANY OWNER, LESSEE OR CONTRACTOR WHOM YOU HAVE <br />At TO INCLUDE AS AN ADDITIONAL INSURED UNDER A WRITTEN CONTRACT, PROVIDED <br />SUCH CONTRACT WAS EXECUTED PRIOR TO THE DATE or 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 11 85 Copyright, Insurance Services Office, Inc., 198�4 <br />Attaohwemt Code, D446557 <br />Master TD: 1300000, Certificate, 11111076601 <br />REV0NED BY': (_ - E1,JNKE HEREDIA, 01G,1Z0F,3 ) <br />