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~~ REPRINTED FROM THE FORMS LIBRARY ~~ <br />C0NK8ERCIALGENERALLIAQLITY <br />CG 76 35 02 07 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE HEAD IT CAREFULLY. <br />LIABILITY PUS ENDORSEMENT <br />This endorsement modifies insurance provided under the folbwing� <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name of Person or Organization: <br />++++++++++++++++++++++++++++++ <br />++++++++++++++++++++++++++++++ <br />++++++++++++++++++++++++++++++ <br />++++++++++++++++++++++++++++++ <br />++++++++++++++++++++++++++++++ <br />++++++++++++++++++++++++++++++ <br />++++++++++++++++++++++++++++++ <br />++++++++++++++++++++++++++++++ <br />++++++++++++++++++++++++++++++ <br />++++++++++++++++++++++++++++++ <br />ADDITIONAL INSURED — BY WRITTEN <br />CONTRACT AGREEMENT OR PERMIT, DR <br />SCHEDULE <br />The following paragraph is added to WHO IS AN <br />INSURED (Section 11): <br />4. Any person or organizationehown inthe Sched- <br />ule urfor whom you are required bywritten oon' <br />trac, agreement or pamnd to provide insurance <br />is on insured, subject &othe following additional <br />provisions: <br />a. The contract, agreement or permit must be <br />in effect during the policy period shown in <br />the Doc|armtiomn, and must have been exe- <br />cuted prior to the "bodily irjury^. "property <br />damage", or "personal and advertising <br />[rjury" <br />b. The person ororganization added mnonin- <br />sured bythis endorsement isaninsured only <br />to the extent you are held liable du* to: <br />(1) The ownership, maintenance or use of <br />that part of premises you own, rent, <br />4/ <br />^-1/3y <br />� n0Y6� <br />~ <br />lease or occupy, subject to the following <br />additional provisions: <br />(a) This insurance duou not apply to <br />any "occunenma"which takes place <br />after you mauoe to be e ienmrA in <br />any premises leased to or nam1ed to <br />you; <br />(b) This insurance dome not apply to <br />any structural alterations, new con- <br />struction or demolition operations <br />performed by or on behalf of the <br />person orpr8onizmt�onadded msmm <br />insured; <br />CQ Your ongoing operations for that in- <br />mured, whether the work is performed <br />byyou orfor you; <br />(3) The maintenance, operation or use by <br />you of equipment leased to you by such <br />person or organiae1|on, subject to the <br />following additional provisions: <br />(a) This insurance does not apply to <br />any "000urrence"which takes place <br />after the equipment lease expires; <br />Includes Copyrighted Material ofInsurance Services Office, Inc., with its permission. <br />Copyright, Insurance Services, 2001 <br />,CG a35 02m Page rw4 ep <br />