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Fr,vmir,n 9 r,o, -i ..f <br />Policy Number: GL 865$796 <br />Coverage is Provided In PEERLESS INSURANCE COMPANY - A STOCK COMPANY <br />Named Insured: <br />Agent: <br />SELECT 7RENCHLESS PIPELINES <br />OR[ON RISK MANAGEMENT <br />INC <br />REFER TO NAMED INSURED SCHEDULE <br />Agent Code: 429613$ Agent Phone: (949) -608 -4931 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE, READ IT CAREFULLY. <br />ADDIT {ONAL INSURED -- OWNERS, LESSEES OR <br />CONTRACTORS - COMPLETED OPERATIONS <br />This endorsement modifies Insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />Section 11 —Who Is An Insured is amended to Include as an additional Insured the persons) or organization {s) <br />shown In the Schedule, but only with respect to liability for "bodily inJury' or "property damage" caused, In whole or in <br />part, by "your world' at the location designated and described In the schedule ofi this endorsement performed for that <br />additional Insured and Included in the "products - completed operations hazard'. <br />SCHEDULE <br />Name Of Addlttonal Insured Persons) 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 DescripElon Of Completed Operations: <br />information required to complete this Schedule, If not shown above, will be shown in the Declarations. <br />® 7S0 Properties, Inc., 2004 <br />CG 20 37 (07/04) <br />INSURED COPY <br />07/01/2011 B85b796 NN194902 0807 PoDM060D J30033 aCAFPPN 00017274 Page 27 <br />