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Policy Number T82 -631-S09650-014 <br />Issued by liberty Mutual Fire Insurance Co. <br />THIS ENDORSEMENT CHANGES THE: POLICY. PLEASE READ IT CAREFULLY, <br />BLANKET ADDITIONAL INSURED <br />This endorsement modifies insurance provided under the following; <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br />SECTION II - WHO IS AN INSURED is amended to include as an insured any person or organization for whom you <br />have 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 (h) premises or other <br />property owned 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 <br />exceeds either the scope of coverage or the limits of insurance provided by this policy; and <br />9. Does not apply to any person or organization for wham you have procured separate liability insurance while <br />such insurance is in effect, regardless of whether the scope of coverage or limits of insurance of this policy <br />exceed those of such other insurance 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 an a primary, excess, <br />contingent, or any other basis, this policy will apply solely on the basis required by such written agreement and <br />Rem 4. Other Insurance of SECTION IV of this policy will not apply. <br />2. Where the applicable written agreement does not specify an what basis the liability insurance will apply, the <br />provisions of Item 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 <br />any other additional insured endorsement on this policy applies to that person or organization with regard to the <br />"bodily injury„ or "property damage". <br />4. If any other additional insured endorsement applies to any person or organization and you are obligated under <br />a written agreement to provide liability insurance on a primary, excess, contingent, or any other basis for that <br />additional insured, this policy will apply solely on the basis required by such written agreement and Item 4. <br />Other Insurance or SECTION IV of this policy will not apply, regardless of whether the person or organization <br />has available other valid and collectible insurance. If the applicable written agreement does not specify on <br />what basis the liability insurance will apply, the provisions of Item 4. Other Insurance of SECTION IV of this <br />policy will govern. <br />ysu vs, <br />AS TQ YOW <br />E» 9�ORO�neV <br />PSS\Stat C 0 PttoC <br />�I <br />LN 20 01 06 05 <br />