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GENERAL PURPOSE ENDORSEMENT <br />OFFICE PAC <br />POLICY NUMBER: 6806H441235 <br />ISSUE DATE: <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />CG2037 (07-04) - ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - <br />COMPLETED OPERATIONS <br />This endorsement modifies insurance provided under the following: <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS -COMPLETED OPERATIONS <br />THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />NAMES OF ADDITIONAL INSURED PERSON(S) OR ORGANIZATION(S): <br />Any person or organization that you agree in a written contract to <br />include: as an additional insured on this Coverage Fart for "bodily <br />injury" or "property damage" included in the products -completed <br />operations hazard, provided that such contract was signed and executed by <br />you before, and is in effect when, the "bodily injury or "property <br />damage" occurs. <br />LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS:Any project to which s <br />written contract with they Additional Insured Person(s) or Organization(s) <br />in the Schedule applies. <br />(INFORMATION REQUIRED TO COMPLETE THIS SCHEDULE, IF NOT SHOWN ABOVE, WILL <br />BE SHOWN IN THE DECLAMATIONS.) <br />A. SECTION II - WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN ADDITIONAL <br />INSURED THE PERSON(S) OR ORGANIZATION(S) SHOWN IN THE SCHEDULE, I3UT ONLY <br />WITH RESPECT TO LIABILITY FOR "BODILY INJURY", "PROPERTY DAMAGE" CAUSED, <br />IN WHOLE OR IN PART, BY "YOUR WORK" AT THE LOCATION DESIGNATED AND <br />DESCRIBED IN THE SCHEDULE OF THIS ENDORSEMENT PERFORMED FOR THAT <br />ADDITIONAL INSURED AND INCLUDED IN THE "PRODUCTS -COMPLETED OPERATIONS <br />HAZARD". <br />CG 20 37 07 04 <br />Copyright ISO properties, Inc. 2004 <br />CO T8 04 10 28 <br />Page 1 of I <br />