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DocuSign Envelope ID:CDB26ED1-82FE-487A-872C-345E8A833228 <br /> COMMERCIAL GENERAL LIABILITY <br /> CGL 084(10 13) <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS <br /> AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION <br /> AGREEMENT WITH YOU - ONGOING OPERATIONS AND <br /> PRODUCTS-COMPLETED OPERATIONS <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br /> SCHEDULE OPTIONAL <br /> Name of Additional insured Persons or Organizations <br /> (As required by written contract or agreement per Paragraph A. below.) <br /> Locations of Covered Operations <br /> (As per the written contract or agreement, provided the location is within the"coverage territory".) <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 include as an additional insured; <br /> 1. Any person or organization for whom you are performing operations when you and such person or <br /> organization have agreed in writing in a contract or agreement in effect during the term of this policy that <br /> such person or organization be added as an additional insured on your policy; and <br /> 2. Any other person or organization you are required to add as an additional insured gander the contract or <br /> agreement described in Paragraph 1_ above; and <br /> 3. The particular person or organization, if any, scheduled above. <br /> Such person(s)or organization(s)is an additional insured only with respect to liability for"bodily injury", <br /> "property damage"or"personal and advertising injury" occurring after the execution of the contract or <br /> agreement described in Paragraph 1. above and caused, in whole or in part, by: <br /> 1. Your acts or omissions; or <br /> 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for <br /> the additional insured; or <br /> 3. Your work" performed for the additional insured and included in the"products-completed operations <br /> hazard" if such coverage is specifically required in the written contract or agreement. <br /> CiGL o84(1013) Includes copyrighted material of the Insurance Services Offices, Inc.with its permission. Page 1 of 3 <br /> Copyright 2013 FCCI Insurance Group. <br />