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OLD REPUBLIC GENERAL INSURANCE CORPORATION <br />CHANGES ADDITIONAL INSURED PRIMARY WORDINGS SCHEDULE <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWINQ: <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br />Name of Additional Insured Person(s) Locatlon(s) of Covered Operations <br />Or Or anization s : <br />Blanket - as reoulred by contract As soecifred in your signed and wrliten agreement <br />ANY PERSON OR ORGANfZATION FOR WHOM THE In advance otfhe "occurrence"/or which she <br />NAMED INSURED IS REQUIRED UNDER WRITTEN addfb'onalinsuredseeks cover$ge <br />CONTRACT TO FURNISH THIS ENDORSEMENT <br />As required by written contract, <br />Information required to complete this Schedule. It not shown above. will be shown in the Declarations_ <br />The insurance provided by this endorsement is primary insurance and we will not seek contribution from <br />any other Insurance of a like kind available to the person or organization shown in the schedule above <br />unless the other insurance is provided by a contractor other than the person or organization shown in the <br />schedule above for the same operation and job location. It so, we will share with that other insurance by <br />the method described in paragraph 4.c. of Section IV — Commercial General Liability Conditions. <br />All other terms and conditions remain unchanged. <br />Named Insured <br />Paulus Engineering, Inc. <br />Policy Number <br />A1CG94841102 <br />Endorsement No. <br />Policy Period <br />05/01/2011 - OW01I2012 <br />Endorsement Effective Date: <br />05,01/201, <br />CO HIV Ok4 0029 (09/06) <br />