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POLICY NUMBER: HODG27VUO825 COMMERCIAL GENERAL LIABILITY <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED — OWNERS, LESSEES KJR <br />CONTRACTORS (FORM 13\ <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name ofPerson orOrganization: ANY OWNER, LESSEE DRCONTRACTOR WHOM YOU HAVE <br />AGREED TO INCLUDE AS AN ADDITIONAL INSURED UNDER A WRITTEN CONTRACT, PROVIDED <br />SUCH CONTRACT WAS EXECUTED PRIOR TOTHE DATE OFLOSS. <br />(If no entry appears 8bOVe. iOfOnn8UOD required to complete this endorsement would be <br />shown inthe Declarations 8Sapplicable tOthis endOrSnnnent] <br />WHO |8/\N INSURED (Section ||\iSamended t0 include ae8n insured the person or <br />organization Sh0vvD in the Schedule, but only with respect to liability 8hSiDg Out of "your <br />work" for that insured by or for you. <br />CG 20 10 11 85 Copyright, Insurance Services Office, Inc., 1984 <br />Auudooco Code :D446j57 <br />REVIEWED BY: EUNICE HERE. -HAA (PG f. <br />