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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />BLANKET ADDITIONAL INSURED <br />This endorsement modifies insurance provided under the following: <br />COMIERCIAL GENER.hL LLABILITY C017ER.AGE FORM <br />SECTION H -'WHO IS AN INSURED is amended to include as an insured any person or organization 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 "bodily injury" or "property damage" arising 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 />3. Does not apply to any person or organization for whom you have procured separate liability insurance while such insurance is <br />in effect; regardless of whether the scope of coverage or limits of insurance of this policy exceed those of such other insurance <br />or whether such other insurance is valid and collectible. <br />The following provisions also apply: <br />1. Where the applicable written 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 requited by such written agreement and Item 4. Other Insurance of <br />SECTION IV of this policy will not apply. <br />2. Where the applicable written agreement does not specify, on what basis the liability insurance will apply, the provisions of Item <br />4. Other Insurance of SECTION IV of this policy will govern. <br />3 This endorsement shall not apply to any person or organization 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 inseus<ace on a primary, excess, contingent, or any other basis for that additional insured, this <br />policy will apply solely on the basis required by such written agreement and Item 4. Other Insurance of SECTION TV of this <br />policy will not apply, regardless of whether the person or organization has available other valid and collectible insurance. If <br />the applicable 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 />This endo =emrnt is esecuted by the LIBERTY MUTUAL FIRE INSURANCE COMPANY <br />Premium 5 <br />Effective Drac <br />For aund=em to Policy No. <br />Audit Basis <br />Issued To <br />Issued <br />IN 20 0106 05 <br />Exoiotion Date <br />T132- 661 - 039499 -012 <br />Countersigned by <br />Auduxiud Aep==Mtive <br />Sales Office and No. <br />End Serial No. <br />