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POLICY NUMBER: 13CS0036349 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 37 04 13 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE, READ IT CAREFULLY. <br />0 a <br />W91#1 AT <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 Of Additional Insured Person(s) <br />Or Organization(s) <br />Location And Description Of Completed Operations <br />" _ <br />ANY PERSON OR ORGANIZATION WHEN YOU AND <br />ALL LOCATIONS <br />SUCH PERSON OR ORGANIZATION HAVE AGREED <br />IN WRITING IN A CONTRACT OR AGREEMENT, <br />EXECUTED PRIOR TO THE "OCCURRENCE" TO <br />WHICH THIS INSURANCE APPLIES, THAT SUCH <br />PERSON OR ORGANIZATION BE ADDED AS AN <br />ADDITIONAL INSURED ON YOUR POLICY <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section 11 — Who Is An Insured is, amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only <br />with respect to liability for "'bodily injury" or <br />"property damage" caused, in whole or in part, by <br />"your work" at the location designated and <br />described in the Schedule of this endorsement <br />performed for that additional insured and <br />included in the "products -completed operations <br />hazard". <br />However: <br />1. The insurance afforded to such additional <br />insured only applies to the extent permitted <br />by lawn and <br />2. If coverage provided to the additional insured is <br />required by a contract or agreement, the <br />insurance afforded to such additional insured will <br />not be broader than that which you are required <br />by the contract or agreement to provide for such <br />additional insured. <br />9 - <br />e Ae\ <br />C <br />CG 20 37 04 13 @ Insurance Services Office, Inc., 2012 Page 1 of 2 <br />