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POLICY NUMBER:LA16CGLO944751C <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 10 04 13 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE HEAD 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) <br />Or Organization(s) <br />Locations Of Covered Operations <br />Any person or organization for whom you are <br />performing operations during the policy period when <br />you and such person or organization have agreed in <br />writing in a contract or agreement that such person or <br />organization be added as an additional insured an your <br />policy. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section If - Who Is An Insured is amended to <br />include as an additional insured the person(s) or <br />organizations) shown in the Schedule, but only <br />with respect to liability for "bodily injury", "property <br />damage" or "personal and advertising injury" <br />caused, in whale or in part, by: <br />1. Your acts or omissions; or <br />B. With respect to the insurance afforded to these <br />additional insureds, the following additional <br />exclusions apply: <br />This insurance does not apply to "bodily injury" or <br />"property damage" occurring after: <br />1. All work, including materials, parts or equipment <br />furnished in connection with such work, on the <br />project (other than service, maintenance or <br />repairs) to be performed by or an behalf of the <br />additional insured(s) at the location of the covered <br />operations has been completed; or <br />That portion of "your worm" out of which the injury <br />or damage arises has been put to its intended use <br />by any person or organization other than another <br />contractor or subcontractor engaged in performing <br />operations for a principal as a part of the same <br />project. <br />2. The acts or omissions of those acting on your <br />behalf; <br />in the performance of your ongoing operations for <br />the additional insured(s) at the location(s) <br />designated above. 2. <br />However: <br />1. The insurance afforded to such additional <br />insured only applies to the extent permitted by <br />law; and <br />2. If coverage provided to the additional insured is <br />required by a contract or agreement, the <br />CG 20 10 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 2 <br />