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POLICY NUMBER: 13PKGWE00090 <br />COMMERCIAL GENERAL LIABILITY <br />CO 30 3107 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />{ <br />tam <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 O anlzstion s : <br />Location And Description Of Completed Opera. <br />bons <br />Any persons) or organization($) to whom the insured <br />agrees to provide Additional Insured - Completed <br />Contracting work or contracting operations performed <br />under written contract by you or on your behalf for <br />operations status in a written contract signed by both <br />parties and executed prior to the commencement of <br />others at a location that you do not awn, control or rent, <br />or occupy other than for the purpose of performing <br />operations. <br />"your work". <br />Information re ulrod to cam fats this Sch ®dule if not shown above will be shown In the Dealaraklons, <br />Section III — 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 />CG 20 37 07 04 0 ISO Properties, Inc„ 2004 Pape 1 of 1 0 <br />