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Endorsement No. <br /> Effective Date: `fa970h/202 @12:01 a.m.Standard Time at the address of the Named Insured <br /> Policy Number SrP00 `747 b$'.20a <br /> Insured Name. hi7 &Associates 1nc1 <br /> Issuing Company:AXIS Surplus Insurance Company <br /> Additional (Return) Premium:`16:g <br /> If the Endorsement Effective Date is blank,then the effective date of this Endorsement is the Inception Dote of the Policy. <br /> ADDITIONAL INSURED - OWNERS, LESSEES OR <br /> CONTRACTORS - SCHEDULED PERSON OR <br /> ORGANIZATION <br /> This endorsement modifies insurance provided under the following: <br /> SPECIALTY PACKAGE POLICY <br /> SCHEDULE <br /> Name Of Additional Insured Person(s) <br /> Or Organization(s) Location(s) Of Covered Operations <br /> r r sAx fi ' rT Yya, f #"�°t+fl"C a IU`�rv'a.11 h"� `� s �.aa 'si.),.' i 7 f u "?�d <br /> gjat 6.1 <br /> nro <br /> Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br /> A. Section III — Who Is An Insured is amended to B. With respect to the insurance afforded to these <br /> include as an additional insured the person(s) or additional insureds, the following additional <br /> organization(s) shown in the Schedule, but only exclusions apply: <br /> with respect to liability for Bodily Injury, Property This insurance does not apply to Bodily Injury or <br /> Damage or Personal And Advertising Injury Property Damage occurring after: <br /> caused, in whole or in part, by: <br /> 1. All work, including materials, parts or <br /> 1. Your acts or omissions; or equipment furnished in connection with such <br /> 2. The acts or omissions of those acting on your work, on the project (other thah service, <br /> behalf; maintenance or repairs) to be performed by or <br /> in the performance of your ongoing operations for on behalf of the additional insured(s) at the <br /> the additional insured(s) at the location(s) location of the covered operations has been <br /> designated above. completed; or <br /> However: 2. That portion of Your Work out of which the <br /> injury or damage arises has been put to its <br /> 1. The insurance afforded to such additional intended use by any person or organization <br /> insured only applies to the extent permitted by other than another contractor or subcontractor <br /> law; and engaged in performing operations for a <br /> 2. If coverage provided to the additional insured is principal as a part of the same project. <br /> required by a contract or agreement, the <br /> insurance afforded to such additional insured <br /> will not be broader than that which you are <br /> required by the contract or agreement to <br /> provide for such additional insured. <br /> Includes copyrighted material of Insurance Services Office, Inc with its permission <br /> CG20100413 <br /> SPP 2010 13(02 14) Page 1 of 2 <br />