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DocuSign Envelope ID: D81 132DAD-599E-4763-A300-356131341`41 E65 <br /> MOBDEC BOP 2630684 02 06/18/2013 WFS CLAR CPP' R 06PFS 0006429 080293 <br /> JX STATE AVTQO <br /> Insurance Companies BOP 2630684 02 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS <br /> - SCHEDULED PERSON OR ORGANIZATIONS <br /> (INCLUDING COMPLETED OPERATIONS) <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br /> SCHEDULE <br /> Name of t ona Insured Person(s) Or Location(s) Of Covere perat ons <br /> Organization(s) <br /> Information required to complete this ScheTuTe7lf not shown above, will e shown in the ec aratlons. <br /> A. The words "you" and "your" as used in this endorsement refer to the Named Insured shown in the <br /> Declarations and any other person or organization qualifying as a Named Insured under the policy to which <br /> this endorsement is attached. "You" and "your" do not refer to an additional insured. <br /> B. The following Is added to Section 11 - Who Is An Insured: <br /> 1. Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown <br /> in the Schedule at the location(s) designated above, but such person or organization is an additional <br /> insured only with respect to:: <br /> a. Liability for "bodily injury", "property damage", or "personal injury and advertising injury" caused, in <br /> 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. <br /> A person's or organization's status as an additional insured for ongoing operations ends when your <br /> operations for that additional insured are completed. <br /> b. Liability for "bodily injury" or "property damage" caused in whole or in part, by "your work" included <br /> in the "products-completed operations hazard" when you and such person or organization have agreed <br /> in a written contract or written agreement that you are required to provide the additional insured with <br /> such coverage. <br /> 2. With respect to the Insurance afforded to the additional insured described above, the following additional <br /> exclusions or limitations apply: <br /> a. This insurance does not apply to "bodily injury", "property damage" or "personal and advertising <br /> Injury" arising out of the rendering of, or the failure to render any professional engineering, <br /> architectural or surveying services by you or others on your behalf, including: <br /> (1) The preparing, approving, failing to prepare or approve, maps, shop drawings, opinions, reports, <br /> surveys, field orders, change orders, or drawings and specifications; or <br /> (2) Supervisory or Inspection activities performed as part of any related architectural or engineering <br /> activities, <br /> However, professional services do not Include services within construction means, methods, techniques, <br /> sequences and procedures employed by you in connection with your operations in your capacity as a <br /> construction contractor. <br /> b. This Insurance does not apply to "bodily injury", "property damage" or "personal and advertising <br /> injury" arising out of the sole negligence or willful misconduct of, or for defects in design provided <br /> by, the additional insured or its "employees". <br /> SL 10 23 12 09 Page 1 of 2 <br /> •//•SL1023-200912 <br /> Includes copyrighted materials of <br /> Insurance Services Office, Inc., with its permission <br /> DODI0D3 P,'W& <br /> issue Date 06/1812013 02:22:27 PM wlsill 01:26:41 <br />