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POLICY NUMBER: ATN-SF1720121 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 10 04 13 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ 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) Or <br />Of Covered Operations <br />-Organization(s)Locations <br />When required by written contract <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section II — 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 with <br />respect to liability for "bodily injury", "property damage" <br />or "personal and advertising injury" caused, in whole <br />or in part, by: <br />1. Your acts or omissions; or <br />2. The acts or omissions of those acting on your behalf; <br />in the performance of your ongoing operations for <br />the additional insured(s) at the location(s) <br />designated above. <br />However: <br />B. With respect to the insurance afforded to these <br />additional insureds, the following additional exclusions <br />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 repairs) <br />to be performed by or on behalf of the additional <br />insured(s) at the location of the covered operations <br />has been completed; or <br />2. That portion of "your work" out of which the <br />injury or damage arises has been put to its <br />intended use by any person or organization other <br />1. The insurance afforded to such additional insured only than another contractor or subcontractor engaged <br />applies to the extent permitted by law; and in performing operations for a principal as a part of <br />2. If coverage provided to the additional insured is the same project. <br />required by a contract or agreement, the insurance <br />afforded to such additional insured will not be broader <br />than that which you are required by the contract or <br />agreement to provide for such additional insured. <br />CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 <br />