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POLICY NUMBER: <br />201503104N PO <br />COMMERCIAL GENERAL LIABILITY <br />CG 2011 01 96 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT <br />CAREFULLY. <br />LESSORS <br />This endorsement modifies Insurance provided underthefollowing: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />1. Designation of Premises (Part Leased to You): <br />2. Name of Person or Organization (Additional Insured): <br />Any person or organization acting as a manager or lessor of a covered premises that you <br />are required to name as an additional insured on this policy, under a written contract, <br />lease or agreement currently in effect, or becoming effective during the term of this policy. <br />1 Additional Premium: Included <br />(If no entry appears above, the information required to complete this endorsement will be shown in <br />the Declara- tions as applicable to this endorsement.) <br />WHO IS AN INSURED (Section II) Is amended to include as an insured the person or organization <br />shown in the Schedule but only with respect to liability arising out of the ownership, maintenance or <br />use of that part of the prem- !sea leased to you and shown inthe Schedule and subject to the following <br />additional exclusions: <br />This insurance does not apply to: <br />1. Any "occurrence" which takes place after you cease to be a tenant in that premises. <br />2. Structural alterations, now construction or demolition operations performed by or on behalf of <br />the person or organization shown in the Schedule. <br />CG 20 1101 96 Copyright, Insurance Services Office, Inc., 1994 Page 1 of 1 D <br />