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r' <br />MGLO172984 <br />THIS ENDORSEMENT CHANGES THIS POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED-OWNERS, LESSEES OR <br />CONTRACTORS (FORM C) <br />This endorsement modifies insurance provided under the following: <br />COMTMCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Nance of Person or Organization: <br />All person or organizations where required by written contract. <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 Il) is amended to include as an insured the person or organization <br />shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or <br />for you. <br />To the extent required under contract,. this policy will apply as primary insurance to additional insureds <br />scheduled above and other insurance which may be available to such additional insureds will be non- <br />contributory. <br />Section IV., Condition 4., of this policy is amended accordingly <br />All other Terms and Conditions of this Policy remain unchanged. <br />CGL 216 (04198) <br />Page 1 of 1 <br />AppRC)VED AS Tp F0111A <br />r <br />LISA S? ORCK <br />Assistant City Attorney <br />91? <br />12/30/2010 <br />CERT NO.: 9159337 CLIENT CODE: Ginnie Ginnie Clarke 12/30/2010 2:91:59 PM Page 9 of 4