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POLICY NUMBER: GLO552579805 <br />COMMERCIAL GENERAL LIABILITY <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />R11141-61 IM' • •' • <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) Or Organization(s): <br />Any person or organization, other than an architect, engineer or surveyor, whom you are required to add <br />as an additional insured under this policy under a written contract or written agreement executed prior to <br />loss, except where such requirement is prohibited by law. <br />Location And Description Of Completed Operations: <br />Any Location or project, other than a wrap-up or other consolidated insurance program location or project <br />for which insurance is otherwise separately provided to you by a wrap-up or other consolidated insurance <br />program. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />Section II — Who Is An Insured is amended to include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property <br />damage" caused, in whole or in part, by "your work" at the location designated and described in the <br />schedule of this endorsement performed for that additional insured and included in the "products - <br />completed operations hazard". <br />The insurance afforded to such additional insured only applies to the extent permitted by law. <br />U -GL -1114-A CW (10/02) <br />Miscellaneous Attachment: M69543 <br />Certificate 1D: 14711718 <br />REVIEWED BY: � -� EUNICE HEREDIA (PG Ay OF � `� <br />