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DocuSign Envelope ID: 75693651-8CDD-4BC3-B32F-F46CD5C2FD4B <br /> POLICY NUMBER: GL 2122489 COMMERCIAL GENERAL LIABILITY <br /> CG 20 37 07 04 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - OWNERS, LESSEES OR <br /> CONTRACTORS - COMPLETED OPERATIONS <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> ............. <br /> Name Of Additional Insured Person(s) <br /> --- Or Organizatiorgs),_ Location And Description,Of Corn leted Operations <br /> ..........--- <br /> As required by written contract As required by written contract <br /> .......... ...................... ........... ......................... <br /> Information required to_co,mplete this Schedule,if not shown above,will be shown in the Declarations, <br /> Section 11-Who Is An Insured is amended to <br /> include as an additional insured the person(s)or <br /> organizations)shown in the Schedule, but only with <br /> respect to liability for"bodily unjury"or"property dam- <br /> age"caused,in whole or in part, by"'your work"at the <br /> location designated and described in the schedule of <br /> this endorsement performed for that additional insured <br /> and included in the"products-completed operations <br /> hazard" <br /> Attachment Code D468637 <br /> C"ell i6vid Vi dii-16 293 ISO Properties, Inc., 21194 Page 1 of 1 <br />