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POLICY NUMBER: CGL 2005388 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 37 0413 <br />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 />PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) <br />Or Or anization s <br />Location And Description Of Completed Operations <br />Any owner, lessee or contractor for whom <br />you are performing operations when you <br />and such owner, lessee or contractor have <br />Locations that are listed in the written <br />contracts or agreements stated on the left <br />side of this SCHEDULE. <br />agreed in writing in a contract or agreement <br />that such owner, lessee or contractor <br />should be added as an additional insured <br />on your policy. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section 11 — 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 <br />with respect to liability for "bodily injury" or <br />"property damage" caused, in whole or in part, by <br />"your work" at the location designated and <br />described in the Schedule of this endorsement <br />performed for that additional insured and <br />included in the "products- completed operations <br />hazard ". <br />However: <br />1. The insurance afforded to such additional <br />insured only applies to the extent permitted <br />by law; and <br />2. If coverage provided to the additional insured is <br />required by a contract or agreement, the <br />insurance afforded to such additional insured will <br />not be broader than that which you are required <br />by the contract or agreement to provide for such <br />additional insured. <br />CG 20 37 0413 © Insurance Services Office, Inc_, 2012 <br />Pagel of 2 <br />5 tCe <br />