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POLICY NUMBER: GL 714-62-59 COMMERCIAL GENERAL LIABILITY <br />CG 20 37 07 04 <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 Additional Insured Person(s) <br />Or Or anization s : <br />Location And Description Of Completed Opera - <br />tions <br />ANY ADDITIONAL INSURED PERSON(S) OR <br />IF ANY <br />ORGANIZATION(S) WHERE REQUIRED TO <br />PROVIDE SUCH COVERAGE BY WRITTEN <br />CONTRACT OR WRITTEN AGREEMENT AND THEN <br />ONLY FOR THE PERIOD OF TIME REQUIRED BY <br />THE CONTRACT AND IN NO EVENT BEYOND THE <br />EXPIRATION DATE OF THE POLICY. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />Section II - Who Is An Insured is amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only with <br />respect to liability for "bodily injury" or "property <br />damage" caused, in whole or in part, by "your work" <br />at the location designated and described in the <br />schedule of this endorsement performed for that <br />additional insured and included in the "products - <br />completed operations hazard". <br />CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 0 <br />