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SB-300113-C <br />CIVA (Ed. 06/11) <br />THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />BUSINESSOWNERS LIABILITY COVERAGE FORM <br />E <br />on: <br />red to complete this Schedule, if not shown on this endorsement, will be <br />The following is added to Paragraph C. Who Is An Insured: <br />4. Any person or organization shown in the Schedule is also an insured, but only with respect to "bodily injury," or <br />"property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the <br />acts or omissions of those acting on your behalf in the performance of your ongoing operations or in connection with <br />your premises owned by or rented to you. <br />vi�i' t <br />f a�,On <br />SB-300113-C Includes copyrighted material of Insurance services Office, Inc., with its permission. Page 1 of 1 <br />(Ed. 06/11) Copyright, Insurance Services Office. Inc. 2002 <br />