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POLICY NUMBER: 9016877004 COMMERCIAL GENERAL LIABILITY <br /> CG 20 3710 01 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - OWNERS, LESSEES OR <br /> CONTRACTORS - COMPLETED OPERATIONS <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> Name of Person or Organization: <br /> As required by written contract <br /> Location And Description of Completed Operations: <br /> Additional Premium: <br /> (If no entry appears above, information required to complete this endorsement will be shown in the Declarations <br /> as applicable to this endorsement.) <br /> Section II - Who Is An Insured is amended to include as an insured the person or organization shown in the <br /> Schedule, but only with respect to liability arising out of"your work"at the location designated and described in <br /> the schedule of this endorsement performed for that insured and included in the "products-completed <br /> operations hazard". <br /> CG 20 3710 01 © ISO Properties, Inc., 2000 Page 1 of 1 <br /> 9016877 06/23/2023 <br /> Sentry Insurance Company <br /> 1 00001 0000000000 23174 0 N 169ad763-de4c-46d7-8d2e-a2864ce123c9 <br />