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-__ <br />Policy Number: CBP3o94292 <br />? ....,.,o,?yc ?s rrov?aea In c.?oLDEN EAGLE INSURANCE CORPORATION <br />Named Insured: Agent: <br />DEKRA-CITE INDUSTRIES, SPECTRUM RISK MANAGEMENT & INS <br />INC, THE JEFFREY LOPEZ <br />REFER TO NAMED INSURED SCHEDULE Agent Gode: 4295959 Agent Phone: (949)-756-5730 <br />THIS ENDORSEMENT CHANGES THE POLICY- PLEASE READ IT CAREFULLY- <br />ADDITIONAL INSURED -OWNERS <br />RS -COMPLETED OPERATIONS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />Section 11 - Who Is An Incur®d is amended to include as an additional insured the parson(s) or organisation(s) <br />shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in <br />pars, by "your work" at the location designated and described in the schedule of this endorsement performed for that <br />additional Insured and included in the °products-completed operations hazard". <br />SCHEDULE <br />Name Of Additional Insured Person{s) Or Organization(s); <br />ANY PERSON OR ORGANIZATION WHEN YOU AND SUCH PERSON OR <br />ORGANIZATION HAVE AGREED IN WRITING IN A CONTRACT, <br />AGREEMENT OR PERMIT THAT SUCH PERSON OR ORGANIZATION <br />BE ADDED AS AN ADD'L INSURED ON YOUR POLICY TO PROVIDE <br />INSURANCE SUCH AS IS AFFORDED UNDER THIS COVERAGE PART <br />Location And Description Of Completed Operations: <br />ANY LOCATION AT WHICH YOU PERFORMED WORK DESCRIBED IN <br />WRITING IN THE CONTRACT, AGREEMENT OR PERMIT FOR A <br />PERSON OR ORGANIZATION THAT HAS BEEN QUALIFIED AS AN <br />ADDITIONAL INSURED IN THIS ENDORSEMENT. <br />Information required to complete this Schedule, if not shown above, will be shown In the Declarations_ <br />S`tOFOR? <br />A'gQROV£? <br />S?RCK <br />?\SP E' qty Attor?e?l <br />Ass start G <br />?y <br />0 ISO Properties, Inc., 2004 <br />CG 20 37 (07/04) <br />AGENT COPY <br />nn in sxi?n+n RIIAd'Jg7 NFI ICXRf:RnRn6 o?nnnncnn ?e ?n Rn ?rn??on, nnnnnn?n Panw ono