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DocuSign Envelope ID:91 F43AFA-8CB4-4861-887A-F304C7A6614B <br /> POLICY NUMBER: COMMERCIAL GENERAL LIABILITY <br /> CG 20 11 01 96 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - MANAGERS OR LESSORS OF <br /> PREMISES <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> 1. Designation of Premises(Part Leased to You): <br /> 2. Name of Person or Organization (Additional Insured): <br /> Any person or organization acting as a manager or lessor of a covered premises that you are required <br /> to name as an additional insured on this policy, under a written contract, lease or agreement currently <br /> in effect, or becoming effective during the term of this policy. <br /> 3. Additional Premium: Included <br /> (If no entry appears above, the information required to complete this endorsement will be shown in the Declara- <br /> tions as applicable to this endorsement.) <br /> WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the <br /> Schedule but only with respect to liability arising out of the ownership, maintenance or use of that part of the prem- <br /> ises leased to you and shown in the Schedule and subject to the following additional exclusions: <br /> This insurance does not apply to: <br /> 1. Any"occurrence"which takes place after you cease to be a tenant in that premises. <br /> 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person or <br /> organization shown in the Schedule. <br /> CG 20 11 01 96 Copyright, Insurance Services Office, Inc., 1994 Page 1 of 1 ❑ <br />