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Polley Number: 02 CSE T10004 Effective Date: 04/01/2013 <br />Named Insured and Address: UNITED TSCHNOLCGIES CORPORATTON <br />Endt. No. 12 ONE FINANCIAL PLAZA <br />HARTFORD, CT 06101 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES <br />OR CONTRACTORS <br />Name of Person or Organization: <br />ANY PERSON OR ORGANIZATION MITI[ WHOM OTIS ELEVATOR COMPANY, OR A WHOLLY OWNED <br />SUBSIDIARY OF OTIS ELEVATOR COMPANY, HAS, THROUGH WRITTEN CONTRACT, AGREED TO <br />PROVIDE INSURANCE PROTECTION UNDER INSURANCE SERVICES OFFICE (ISO) FORM CO 20 10 11 <br />85 OR ITS EQUIVALENT, <br />(If no entry appear above, information required to complete this endorsement will <br />be shown in the Declarations as applicable to the endorsement.) <br />WHO IS AN INSURED (Section Ip is amended to include as an insured the person or organization shown in the <br />Schedule, but only with respect to liability arising out of "your work" for that Insured by or for you. <br />For the purposes of this endorsement, "you" shall refer to Otis Elevator Company <br />and it's subsidiaries, and "your work" shall moan work performed by or for Otis <br />Elevator Company and it's subsidiaries. <br />APPROVED AS <br />"Co r'0�:0011 <br />LIS— � E. STaRCK <br />Form GT 53 9413 (Ed 8103) AssistanP WkA 4*1I1ey <br />(c) 2003. The Hartford <br />(Includes copynghted material of Insurarce Services Office <br />wdn its permission Ccnyright. Insurance Services Office Inc. 2003) <br />