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POLICYNUMBER: FMM1416435-3 <br />COMMERCIAL GENERAL LIABILITY <br />CO 2010 07 04 <br />THIS ENDORSEMENT CHANGES THE POLICY.. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED -- OWNERS, LESSEES OR <br />CONTRACTORS — SCHEDULED PERSON OR <br />ORGANIZATION <br />This endmentsnt modilles Instuance provided ander the fo&m t : <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />&CNEDULI <br />Name Of Additional Insured Psrwm(s) <br />Or O Irnoo»(s R <br />IIOn s Of COvend O Tsilloues <br />Any Person or Orpankstion as tegtred by wasp contract <br />ANY <br />1 rmatlan r tO thls N trot sham pbe& we to shpm In <br />A. Section II — Who Is An Insured Is arnertded to <br />Include as an addklortsl Insured the pmwgs.) or <br />W9aftA*X4$) W*" In the Schedule, boA o* <br />with m"d to Ils6 + for 'bodly W. -property <br />damage ar "personal and a <br />csused, In whcds or in part, by, <br />1. Your ads or omisslons. or <br />2, The eds or ommkstm of those W&V on your <br />behalf, <br />b the rice of <br />the s) des>Q <br />naiad above; <br />B. VI/�h refit to the Insurance afforded to these <br />ad pe l Mrsut , the 11011104p additional emda- <br />sktns SPW <br />This Iastuave does not apply to klury` or <br />why . � ~, <br />1. AN work, inc WkV matedsk, peAs Or equo. <br />merit MWshad In com"on with shah work, <br />Ontits (othor than service, mahaimnce <br />or rapetn be p&*onsd by or on beha2 of <br />the additional Instwoo) at the bctrtion of the <br />caaered Opsrsdloru rtes bean aorrtped; or <br />2. That portion of yoer woM out of which the <br />=or dwmP arises has bow put to Its In- <br />uss by any pusort or vvrr�� tert�ort other <br />than ar"*? Contractor or sub�OorNractOr an- <br />CoG+d In peftmkv opeaftne Fm a prkupt <br />as a poet of the ssmte praoject. <br />CO 20 110 07 04 0 180 PrvperOs, hr—, 2004 Pate 1 of 1 <br />