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a <br /> POLICY NUMBER INSURED NAME AND ADDRESS Buxton Company <br /> 5088174785 2651 S.Polaris Drive <br /> Fort Worth,TX 76137 <br /> POLICY CHANGES <br /> BLANKET CG 2010 (G-300693-A) PAGE 2 <br /> This Change Endorsement changes the Policy. Please read it carefully. <br /> This Change Endorsement is a part of your Policy and takes effect on the <br /> effective date of your Policy, unless another effective date is shown. <br /> Location(s) Of Covered Operations <br /> As per the written contract or written agreement, provided the <br /> location is within the "coverage territory" of this Coverage Part. <br /> A. Section II - Who Is An Insured is amended to include as an <br /> additional insured the person(s) or organization(s) shown in <br /> the Schedule, but only with respect to liability for "bodily <br /> injury", "property damage" or "personal and advertising injury" <br /> caused, in whole 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 the additional <br /> insured(s) at the location(s) designated above. <br /> B. With respect to the insurance afforded to these additional <br /> insureds, the following additional exclusions apply: <br /> This insurance does not apply to "bodily injury" or "property <br /> damage" occurring after: <br /> 1. All work, including materials, parts or equipment furnished in <br /> connection with such work, on the project (other than <br /> service, maintenance or repairs) to be performed by or on <br /> behalf of 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 injury or damage <br /> arises has been put to its intended use by any person or <br /> organization other than another contractor or subcontractor <br /> engaged in performing operations for a principal as a part of <br /> the same project. <br /> Page 2 of 2 <br /> i� <br /> C <br /> n0 <br /> chairman of the Board Secretary <br /> G-56015-B (ED. 11/91) <br />