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DocuSign Envelope ID:8FF67418-E481-498A-99FD-471DE125EDF5 <br /> POLICY NUMBER: GL 2122489 COMMERCIAL GENERAL LIABILITY <br /> CG 20 33 04 13 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - OWNERS, LESSEES OR <br /> CONTRACTORS - AUTOMATIC STATUS WHEN <br /> REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <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 any person or additional insureds, the following additional <br /> organization for whom you are performing exclusions apply: <br /> operations when you and such person or This insurance does not apply to: <br /> organization have agreed in writing in a contract <br /> or agreement that such person or organization 1. "Bodily injury", "property damage" or <br /> be added as an additional insured on your "personal and advertising injury" arising out <br /> policy. Such person or organization is an of the rendering of, or the failure to render, <br /> additional insured only with respect to liability any professional architectural, engineering <br /> for "bodily injury", "property damage" or or surveying services, including: <br /> "personal and advertising injury" caused, in a. The preparing, approving, or failing to <br /> whole or in part, by: prepare or approve, maps, shop <br /> 1. Your acts or omissions; or drawings, opinions, reports, surveys, <br /> 2. The acts or omissions of those acting on field orders, change orders or drawings <br /> your behalf; and specifications; or <br /> in the performance of your ongoing operations b. Supervisory, inspection, architectural or <br /> for the additional insured. engineering activities. <br /> However, the insurance afforded to such This exclusion applies even if the claims against <br /> additional insured: any insured allege negligence or other <br /> wrongdoing in the supervision, hiring, <br /> 1. Only applies to the extent permitted by law; employment, training or monitoring of others by <br /> and that insured, if the "occurrence" which caused <br /> 2. Will not be broader than that which you are the "bodily injury" or "property damage", or the <br /> required by the contract or agreement to offense which caused the "personal and <br /> provide for such additional insured. advertising injury", involved the rendering of or <br /> the failure to render any professional <br /> A person's or organization's status as an architectural, engineering or surveying services. <br /> additional insured under this endorsement ends <br /> when your operations for that additional insured <br /> are completed. <br /> CG 20 33 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 <br />