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POLICY NUMBER: BKW1656365248 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 10 04 13 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED -OWNERS, LESSEES OR <br />CONTRACTORS -SCHEDULED PERSON OR <br />ORGANIZATION <br />This endorsement modifies Insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) Or Organization(s): <br />Blanket Additional Insured Agreed <br />written contrct, agreement, permit <br />1371 Macy Street <br />LA HABRA, CA 90631 <br />Location(s) Of Covered Operations <br />Any location(s) when Youhave agreed in a written <br />contract, agreement or permit that person or <br />organization be added as an additional insured <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section II - Who Is An Insured is amended to <br />Include as an additional Insured the person(s) <br />or organizatbri(s) shown in the Schedule, but <br />only with respect to liability for 'bodily in- <br />jury", "property damage" or "personal and <br />advertising Injury" caused, in whole or In <br />part, by: <br />1. Your acts or omissions; or <br />2. The acts or omisslons of those acting on <br />your behalf; <br />in the performance of your ongoing <br />operators for the additional insured(s) at the <br />location(s) designated above. <br />However. <br />1. The Insurance afforded to such additional <br />Insured only applies to the Went permit- <br />ted by law; and <br />2. If coverage provided to the additional in- <br />sured Is required by a contract or agree- <br />ment, the insurance afforded to such <br />additional insured will not be broader <br />than that which you are required by the <br />contract or agreement to provide for such <br />additional insured. <br />CG 20 10 04 13 <br />B. With respect to the insurance -afforded to <br />these additional insureds, the following addi- <br />tional exclusions apply: <br />This Insurance does not apply to "bodily in- <br />jury" or" property damage" occurring after: <br />1. All work, including materials, parts or <br />equipment furnished in connection with <br />such work, on the project (other than ser- <br />vice, maintenance or repairs) to be per- <br />formed by or on behalf of the additional <br />insured(s) at the location of the covered <br />operations has been completed; or <br />2. That portion of "your work" out of which <br />the injury or damage arises has been put <br />to Its Intended use by any person or or- <br />ganization other than another contractor <br />or subcontractor engaged In performing <br />operations for a principal as a part of the <br />same project. <br />d Insurance Services Office, Inc., 2012 <br />Page 1 of 2 <br />