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POLICY NUMBER: PHPK1551604 COMMERCIAL GENERAL <br />LIABILITY <br />CG 20 10 07 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - <br />SCHEDULED PERSON OR ORGAN IZATION <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 />AS REQUIRED PER WRITTEN CONTRACT. <br />Inforniation 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 to the person(s) or <br />Organization(s) shown in schedule, but only <br />With respect to liability for "bodily injury" "property" <br />damage" or "personal and advertizing injury" <br />caused, in whole or in part by: <br />B. With respect to the insurance afforded to these <br />additional insured, the following additional <br />exclusions apply: <br />This insurance does not apply to "bodily <br />injury" or "property damage" occurring after <br />1. Your acts or omissions; 1. All work, including materials, parts or equip - <br />2. The acts or omissions of those acting on your behalf; ment furnished in connection with such work, <br />in the performance of your ongoing operations for on the project (other than service maintenance <br />the additional insured(s) at the location(s) or repairs) to be performed by or on behalf of <br />designated above the additional insured(s) at the location of the <br />covered operations 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 in- <br />tended use by any person or organization <br />other than another Contractor or <br />subcontractor engaged in performing <br />operations for a principal as a part of the <br />same project. <br />aC'���e� <br />2 <br />cc)P,P <br />