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I <br />1992011004054OWS <br />THIS ENDORSEMENT CE -UNGES THE POLICY. PLEASE READ IT CAREFULLY. <br />BLANI:ET ADDITIONAL INSURED <br />This endorsement modifies insurance provided under the following. <br />COMMERCLIL GEKERAL LIABILITY CUv ERAGE Foam <br />SECTION II - WHO 15 AN INSURED is attended to include as an insured any person or orp=ation for whom you have <br />agreed in writing to provide liability insurance. But <br />The insurance provided by this amendment: <br />1. Applies only to "bo&y injury" or property damage" szis'tng out of (a) "your work" or (b) premises or other property owned <br />by or rented to you; <br />2. Applies only to coverage and minimum limits of insurance required by the written agreement, but in no event exceeds either <br />the scope of coverage or the limits of insurance provided by this policy; and <br />S. Does not apply to anyperson or or$aoiaaUon for wham you have procured separate liability itisarance while such insurance is <br />in effect, regardless of whether the scope of coverage or limits of insurance of this policy c=ccd those of such other insurance <br />or whether such otherinsuurance is valid and collectible. <br />The following provisions also apply. <br />1. Whets the applicable warren agreement requires the insured to provide liability insurance on a primary, excess, contingent, or <br />any other basis, this policy will apply solely on the basis required by such wttten agreement and Item 4. Other Insurance of <br />SECTION IV of this policy vnU not apply. <br />? Where the applicable mitten agreement does not specify on what basis the liability insurance will apply, the provisions of Item <br />4. Other Insurance of ; ECT ION TV of this policy wiU govern. <br />3 'This endorsement shall not apply to any person or mgmization for any "bodily injury" or "property damage' if any other <br />additional insured endorsement on this policy applies to that person or organization with regard to the "bodily injury` or <br />"property damage": <br />4. If any other additional insured endorsement applies to any person or organization and you are obligated under a written <br />agreement to provide liability insurance on a primary, excess, contingent, or any other basis for that additional insured, this <br />policy -ill apply solely on the bards required by such written agreement and Item 4. Other Insurance of SECTION Ill of tsars <br />policy will not apply, regardless of whether the person or organization has available other valid and collectible insurance. If <br />the applicabk written agreement does not specify on what basis the liability insurance Will apply, the provisions of Item 4. <br />Other Insurance of SECTION IV of this policy will govern <br />ihir mdossement is aceutw by the LIBERTY MUTUAL FIRE INSURANCE COMPANY <br />Premium S <br />Effecovc Dalc Expiration Datc <br />For utachm= ro policy No. TB2- 681 -MI45 -717 <br />Audit <br />usued 7o <br />Elaine Barnes <br />Cowtcrr9 pcd b} <br />n -�.:s� Rip.ex9u�e <br />Tutted ;aka Dffiezand No. Find. Serial No. 18 <br />LN 20 0106 05 <br />