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PLACEWORKS AGR # TBD REVIEWED BY: , '(,.� EUNICE FIEREDIA (PG 2 OF 7) <br />Policy i6$PK- 10915$ Crun <br />• part or the pAtRPAX group <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 />SCHEDULE <br />Name of Additional Person(s) or _ <br />Organization(s): <br />Location And Description Of Complatad <br />b orations <br />Where Required by Written Contract <br />Where Required by Written Contract <br />Information re wired to com late this Schedule if not shown above, will be shown in the Declarations. <br />A. Section III - Who Is An Insured within the <br />Common Provisions Is amended to include as <br />an insured the person(s) or organization(s) <br />shown in the Schedule, but only with respect to <br />liability for "bodily injury" or "property damage" <br />caused, in whole or in part, by "your work' at <br />the location designated and described in the <br />schedule of this endorsement performed for <br />that additional insured and included in the <br />"products- completed operations hazard ", <br />EN0320.0211 <br />Page 1 of 'I <br />