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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - COMPLETED OPERATIONS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) <br />Or Organization(s): <br />Location And Description Of Completed Opera- <br />tions <br />As specified in a written agreement which is signed <br />in advance of the "occurrence" or offense for which <br />the additional insured seeks <br />coverage. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />Section II — Who Is An Insured is amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only with <br />respect to liability for "bodily injury' or "property <br />damage" caused, in whole or in part, by "your work" <br />at the location designated and described in the <br />schedule of this endorsement performed for that <br />additional insured and included in the "products - <br />completed operations hazard ". <br />This endorsement is executed by the Wausau Underwriters Insurance Company <br />Premium $ Included <br />Effective Date ]3101113 Expiration Date 03101114 <br />For attachment to Policy No. YVJ -Z91- 458727 -013 <br />Audit Basis Flat <br />Issued To EMS Facility Services, LLC, etal <br />Countersigned by <br />Authorized Representative <br />- Issued Sales Office and No. End. Serial No. 2 <br />02 -11 -13 San Ramon, CA <br />CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 <br />