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DocuSign Envelope ID:91 F43AFA-8CB4-4861-887A-F304C7A6614B <br /> POLICY NUMBER: COMMERCIAL GENERAL LIABILITY <br /> CG 20 10 07 04 <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 Organization(s): Location(s)Of Covered Operations <br /> Any person or organization that you are required to All insured premises and operations <br /> add as an additional insured on this policy, under a <br /> written contract or agreement currently in effect, or <br /> becoming effective during the term of this policy. The <br /> additional insured status will not be afforded with <br /> respect to liability arising out of or related to your <br /> activities as a real estate manager for that person or <br /> organization. <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 B. With respect to the insurance afforded to these <br /> include as an additional insured the person(s) or additional insureds, the following additional exclu- <br /> organization(s) shown in the Schedule, but only sions apply: <br /> with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" <br /> or <br /> damage" or "personal and advertising injury" "properly damage" <br /> occurring after: <br /> caused, in whole or in part, by: <br /> 1. All work, including materials, parts or equip- <br /> 1. Your acts or omissions; or ment furnished in connection with such work, <br /> 2. The acts or omissions of those acting on your on the project (other than service, maintenance <br /> behalf; or repairs) to be performed by or on behalf of <br /> in the performance of your ongoing operations for the additional insured(s) at the location of the <br /> the additional insured(s) at the location(s) desig- operations has been completed;or <br /> nated above. 2. That portion of your work" out of which the <br /> injury or damage arises has been put to its in- <br /> tended use by any person or organization other <br /> than another contractor or subcontractor en- <br /> gaged in performing operations for a principal <br /> as a part of the same project. <br /> CG 20 10 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 ❑ <br />