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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS SCHEDULED PERSON OR <br />ORGANIZATION <br />This endorsement modifies insurance provided under the following; <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) <br />Or Organ izations Location(s) Of Covered' Operations <br />Any owner, lessee, or contractor for whom you have <br />agreed in writing prior to a loss to provide liability <br />Insurance. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section 11 - Who Is An Insured is amended to include This insurance does not apply to "bodily injury'" or <br />as an additional insured the person(s) or organization(s) "property damage" occurring after: <br />shown in the Schedule, but only with respect to liability 1. All work, including materials, parts or. equipment <br />for "bodily injury", "property damage" or "personal and furnished in connection with such work, on the pro- <br />advertising injury" caused, in whole or in part, by: ject (other than service, maintenance or repairs) to <br />1. Your acts or omissions; or be performed by or on behalf of the additional in- <br />2. The acts or omissions of those acting on your be- sured(s) at the location of the covered operations <br />half; has been completed;, or <br />in the performance of your ongoing operations for the 2• That portion of "your work out of which the injury or <br />additional insured(s) at the location(s) designated damage arises has been put to its intended use by <br />above. any person or organization other than another con- <br />tractor or subcontractor engaged' in performing op- <br />B. With respect to the insurance afforded to these addi- erations for a' principal as a part of the same project. <br />tional insureds, the following additional exclusions ap- <br />ply: <br />This endorsement is executed by the company below designated by an entry in the box opposite its name <br />[ l LIBERTY MUTUAL INSURANCE COMPANY <br />Premium <br />[X I LIBERTY MUTUAL FIRE INSURANCE COMPANY <br />I LIBERTY INSURANCE' CORPORATION <br />Effective Date: 7/1/2010 Expiration Date: 711/2011 [ t LIM INSURANCE CORPORATION <br />[ } THE FIRST LIBERTY INSURANCE CORPORATION <br />For attachment to Policy No.: TB2-661-039499-010 <br />Audit Basis: <br />Issued to: West Coast Arborlsts Inc <br />lk* <br />SGT ITARY PRESIDENT <br />. <br />Countersigned by ...................... ......... ....... .................... ........ .................... <br />Authorized Representative <br />Issued: 7/1/2010 Sales Office and No. Los Angeles, CA / 0603 <br />CG 20 10 07 04 U ISO Properties, Inc., 2004 Page 1' of 1