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POLICY NUMBER: QL 204-76-94 COMMERCIAL GENERAL LIABILITY <br />CG 20 37 04 13 <br />THUS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <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 0 Insured Person1s) <br />Or Organization(s) <br />Location, And Description Of Completed Operations <br />ANY PERSON OR ORGANIZATION WHO YOU <br />BECOME OBLIGATED TOINCLUDE AS AN <br />ADDITIONAL INSURED AS A RESULT OF <br />ANY CONTRACT OR AGREEMENT YOU <br />HAVE ENTERED INTO <br />Information required to complete this Schedule, if not shown above, will be shown in the Dec�arations. <br />A. Section U ' Who Is An |nmmnad is amended to which you are required by the contract or <br />inc|wdmaounadditional insured the m`,son<s}or agreement to provide for such additional <br />organization(s) shown in the Schedule, but only insured. <br />Wth respect to |iahNicv for "bodily injury^ or B. With respect to the insurance afforded to these <br />"property daone9o` oeunod' in whole or in part, additional insureds, the fuNowimg is added to <br />by "your work" at the |noarioo designated and Smohnm O| Limits OfInsurance: <br />described in the Schedule of this endorsement <br />If oow*ra0o provided to the additional insured is <br />performed for that additional insured and <br />included in the .pmdoocn-oomp|e�d operations we <br />by a contract or eqrcom*nt^ the most <br />m= will pay on behalf of the additional insured <br />hazard". iothe amouruofinsurance; <br />However <br />1. Required by the contract or agreement; o, <br />1. The insurance afforded to such additional <br />2. Available under the eppUcnWo Limits of |nou- <br />inaured only applies to the extent permitted rmnce shown in the Deo�aroti�no' <br />by law; and ' <br />2. If coverage provided ,o the additional whichever less. <br />insured is required by e contract o/ agree- This endorsement ahuM not increase the appk' <br />meot. the insurance afforded to such addi' cable Limits of Insurance shown in the Doc|a- <br />dona| insured will not be broader than that rations. <br />` <br />CG2037O413 Insurance Services Office, Inc., 2012 _ Page 1 of 1 [� <br />RB8EVVBE) ^41'' ��4�r �`~ ENN|CEHEIREDi�(P(-)_�OF�� <br />