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r <br />9 <br />pOLIQY NUMBER: GIP24:?. COMMERCIAL GENERAL LIABILITY <br />CG 20 37 04 13 <br />THIS EI POK..'$E0�T CMi4N:611IS THE POLICY, PLEASE RSAb IT OAREFVLLY. <br />AD'O1.tfiftAl IN -$W RED - OWNERS, LESS MS OR <br />C6I�ITRAbTORa.00MFiLt 5b 6P�.AAT16,NS <br />I.. <br />this endorsement mod IAes,41i ranee provided Under the following: <br />COMMERCIAL 0ENERh11: LIADILiTY OOVEWrt PART <br />PRODUCTS] COMPLETd1 ) OPERATIONS UADILITY COVERAGE PART <br />E <br />1 SOhIEDULE <br />NOMo Of Addidan i insu[Od <br />Orarof faitlonpsj <br />4:ecatlon And Description Of:Covarad Operations <br />ANY PERSON OIL OR6 'ZATTON' lt!T R WHOM <br />',LCATfoas AS REQbftD B'1' N=TP.IT <br />TEE INSURED HAS AGRB D BY WRITTEN - <br />;CONTRACT" <br />CONTRACT TO FERFO =LVICES WHEW THE <br />TERMS AND CONDITTOM OF THIS POLICY, TO <br />WI.TICH T.10 FORM IS: AT - ACHED." <br />: Mi 500,00 FULLY EARN -50, <br />k <br />i <br />g <br />Information req ulrod to oamplete this 'So neduln. 0 noh shown shove, wiff ba showA In the Declarations. <br />A. Station It - WHO Is <br />Include as an additie <br />organi2atlon(z) show <br />with respect to 1101,111 <br />)i'oovM, <br />1:'. TtM, :1519U eO <br />1040Rbd: nly: <br />Isw";4nd <br />.2, R ob' 'kkkoo I <br />is, raqulmo 1 <br />ippdragdd a'i <br />will -ot lie: I <br />r4olrod :by <br />pravtd--o.for e, <br />Insured Is amshdad to <br />insured the p;p*n(a) or <br />the 6dM'aei;UCa, but;only <br />r "be'dilg Injury"or"prop-. <br />,vholo or In part. by "Your <br />deb to WA10fi..atJ41dnol <br />o&mF5: 18.C[t 17tiF1>1ErtE(1:.{3y <br />to tnie:�uitslhkicirall iitiSf.lttd <br />rteF.C$'aT gt]reitrn:ent:thlva <br />00 49M0 4 t to <br />B. With iespeot to the Insurance afforded to these <br />additional Insureds, the following is added to See- <br />' Alen Ill - Umlts:'Oflnwrance; <br />If coverage provliled,to the additlonal Insured Is <br />required by a conttaot or agreement, the most we <br />Will pay on behalf of the additional Insured is the <br />ams U nt of Inswon= <br />1. Required by the op ntrnot or agreemant;or <br />2, Available Under the applicable Limits of Insur- <br />ance shown in thO DeelgrMlons; <br />whiohevor is loss• <br />This end ofsemsnt •shall. natlnpreaee theapplicable <br />Llrnite of lnsuranoe� shown in the Dsceretlons, <br />r <br />Co 20, 37:04-f3 copyright, Insurance ssrvroes Office, Inc,.,,2012Page ?ot9 <br />I <br />Fiscal Approval i'7L."� <br />....,._....-_.... _,... Pale <br />