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DocuSign Envelope ID: 3B7FF6D8-761 B-4C88-A691-9E7C554A969C <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - OWNERS, LESSEES OR <br /> CONTRACTORS - SCHEDULED PERSON OR <br /> 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) <br /> or Organ ization s : Locations of Covered Operations <br /> ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE ANY LOCATION AT WHICH WORK OR <br /> REQUIRED TO NAME UNDER THIS ENDORSEMENT IN A OPERATIONS ARE PERFORMED BY YOU OR <br /> WRITTEN CONTRACT OR AGREEMENT ON YOUR BEHALF <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 This insurance does not apply to "bodily injury' <br /> include as an additional insured the person(s) or"property damage" occurring after: <br /> or organization(s) shown in the Schedule, but <br /> only with respect to liability for "bodily injury", 1. All work, including materials, parts or <br /> "property damage" or "personal and advertis- equipment furnished in connection with <br /> ing injury' caused, in whole or in part, by: such work, on the project (other than ser- <br /> vice, maintenance or repairs) to be per- <br /> 1. Your acts or omissions; or formed by or on behalf of the additional <br /> insured(s) at the location of the covered <br /> 2. The acts or omissions of those acting on <br /> operations has been completed; or <br /> your behalf; <br /> 2. That portion of "your work" out of which <br /> in the performance of your ongoing operations <br /> the injury or damage arises has been put <br /> for the additional insured(s) at the location(s) to its intended use by any person or or- <br /> designated above. ganization other than another contractor <br /> B. With respect to the insurance afforded to or subcontractor engaged in performing <br /> these additional insureds, the following addi- operations for a principal as a part of the <br /> tional exclusions apply: same project. <br /> CG 20 10 07 04 ©ISO Properties, Inc., 2004 <br />