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Erie <br />~ Insurance <br />POLICY NUMBER: Q42-1690212 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 10 (Ed. 7/04) OF-9665 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS - <br />SCHEDULED PERSON OR 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 Organization(s): Location(s) of Covered Operations. <br />ORANGE COUNTY <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 <br />damage" or "personal and advertising injury" caused, <br />in .whole or in part, by: <br />1. Your acts or omissions; or <br />2. The acts or omissions of those acting on your <br />behalf; <br />in the performance of your ongoing operations for <br />the additional insureds) at the location(s) designated <br />above. <br />B. With respect to the insurance afforded to these <br />additional insureds, the following additional exclu- <br />sions apply: <br />This insurance does not apply to "bodily injury" or <br />"property damage" occurring after: <br />1. All work, including materials, parts or equip- <br />ment furnished in connection with such work, <br />on the project (other than service, maintenance <br />or repairs) to be performed by or on behalf of <br />the additional insureds) 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 <br />intended use by any person or organization other <br />than another contractor or subcontractor <br />engaged in performing operations for a principal <br />as a part of the same project. <br />Copyright ISO Properties, Inc., 2004 <br />