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POLICY NUMBER: HDO 627341261 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 />X91 kyj livill -AmUM F -Al 1004 1111 a &Ofij ffi 4 &1 0 ��AN �-I* <br />Name of Person or Organization: ANY OWNER, LESSEE OR CONTRACTOR WHOM YOU HAVE <br />AGREED -1-0 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 1111) 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,, 1984 <br />Attachinent Code : D446557 <br />Mistcr FID: 13 06000, Cortificate ID: 11076601 <br />WM CURBSIDE A-2008-062 & N-2007-086-01 REVIEWED ByEUNICE HEREDIA (PG. 2 of 3) <br />