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612612017 <br />POLICY NUMBER; LAI7CGL0196661C <br />COMMERCIAL GENERAL LIABILITY <br />GG 20 37 04 13 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - COMPLETED OPERATIONS <br />This endorsernenl modifles Insurance provided under ilia following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />PRODUCTS/OOMPLETED OPERATIONS LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) <br />Or Organlzatlon(s) <br />Location And Description Of Completed Operations <br />Any person ororganization for whom you are <br />performing operations when you and such person or <br />organization have agreed In writing In a contract or <br />agreement that such person or organlzatlon be added <br />as an additional Insured on your policy, <br />Informatlon 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 nn eddlilonal insurad the person(s) or <br />organizatlon(s) shown In the Schedule, but only <br />with respect to Ilabllity for "bodily Injury" or <br />"property damage" caused, in whole or In part, by <br />"your work" at the location deal ggnaled and <br />described In the Schedule of this endorsement <br />performed for that additional Insured and Included <br />In the "produots-completed operations hazard". <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 />Insurance afforded to such additional Insured <br />will not be broader than that which you are <br />required by the contractor agreement to <br />provide for such additional Insured, <br />CG 20 37 0413 <br />B. With respect to the Insurance afforded to these <br />addlflonel Insurerls, the following Is added to <br />Section III - Limits Of Insurance; <br />If coverage provided to the additional Insured Is <br />required by a contract or agreement, the most we <br />will pay on behalf of the additional Insured Is the <br />amount of Insurance; <br />1. Requl red by the contract or agreement; or <br />2, Available under the applicable Limits of <br />Insurance shown In the Declarations; <br />whichever Is leas, <br />This endorsement shall not Increase the applicable <br />Limits of Insurance shown In the Declarations, <br />REVIEwE- --- ..:.. __ EUNICE MERE!?IA fP4 4F } .- <br />sU Insurance Services Office, Inc„ 2012 <br />36351024 1 019Aie 1 2017 All Uoe" I Mn"O vu"eemaneo 1 612012017 siO,23 ew nor) I nano 2 of 3 <br />Page 1 of 1 <br />