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amr <br />LS1 <br />Lit? i` 1at►r<t1.i fs h <br />Liberty Surplus Insurance Corporation <br />ENDORSEMENT NO. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />Endorsement Effective Date: 06/03/2011`_ Policy No.: DGL-LA-184783046 <br />Insured: CROSSTOWN ELECTRICAL & DATA INC. <br />ADDITIONAL INSURED —OWNERS. LESSEES OR CONTRACTORS (FORM B) <br />SCHEDULE <br />or <br />As required by written contract signed by both parties prior to any "occurrence" in which coverage is sought <br />under this policy. Coverage offered by this endorsement does not apply to "Residential Construction" as <br />defined in (Exclusion Residential Construction CGL 1127 0609) endorsement, which is attached to this <br />policy. <br />(If no entry appears above, information required to complete this endorsement will be shown in the <br />Declarations as applicable to this endorsement.) <br />WHO IS AN INSURED (Section 11) is amended to include as an insured the person or organization shown in <br />the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. <br />CGL 2010 1185 Page 1 of 1 <br />