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DocuSign Envelope ID: 1AC635AA-EA4F-4955-BBE2-8A60C54AC4F9 <br /> PENN NATIONAL <br /> ® INSURANCE <br /> policy# CX9 0727704 <br /> Pennsylvania National Mutual Casualty Insurance Company <br /> Penn National Security Insurance Company <br /> P.O.Box 2361 <br /> Harrisburg,PA 17105-2361 <br /> THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY <br /> AUTOMATIC ADDITIONAL INSUREDS -- <br /> OWNERS, CONTRACTORS AND SUBCONTRACTORS <br /> (ONGOING OPERATIONS) <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> A. The following provision is added to SECTION II - advertising injury" arising out of the rendering <br /> WHO IS AN INSURED of, or the failure to render, any professional <br /> architectural, engineering or surveying <br /> 1. Any person(s) or organization(s) (referred to services, including: <br /> below as additional insured) for whom you a. The preparing, approving, or failing to <br /> are performing operations when you and prepare or approve, maps, shop drawings, <br /> such person or organization have agreed in opinions, reports, surveys, field orders, <br /> writing in a contract or agreement that such change orders or drawings, designs and <br /> person or organization be added as an specifications; and <br /> additional insured on your policy. Such <br /> person or organization is an additional b. Supervisory, inspection, architectural or <br /> insured only with respect to liability for"bodily engineering activities. <br /> injury", "property damage" or "personal and <br /> advertising injury" caused, in whole or in part, 2. This insurance does not apply to "bodily <br /> by: injury" or"property damage" occurring after: <br /> (1)Your acts or omissions; or a. All work, including materials, parts or <br /> equipment furnished in connection with <br /> (2)The acts or omissions of those acting on such work, on the project (other than <br /> your behalf; service, maintenance or repairs) to be <br /> performed by or on behalf of the additional <br /> in the performance of your ongoing insured(s) at the location of the covered <br /> operations for the additional insured(s) at the operations has been completed; or <br /> location or project described in the contract or <br /> agreement. b. That portion of "your work" out of which <br /> the injury or damage arises has been put <br /> A person's or organization's status as an to its intended use by any person or <br /> additional insured under this endorsement organization other than another contractor <br /> ends when your operations for that additional or subcontractor engaged in performing <br /> insured are completed. operations for a principal as part of the <br /> same project. <br /> B. With respect to insurance afforded to these <br /> additional insureds, the following additional C. The limits of insurance applicable to the <br /> exclusions apply: additional insured are those specified in the <br /> written contract or agreement or in the <br /> 1. This insurance does not apply to "bodily Declarations for this policy, whichever are less. <br /> injury", "property damage" or "personal and These limits of insurance are inclusive of and not <br /> 71 0741 0314 Page 1 of 2 <br /> Includes copyrighted material of Insurance Services Office, Inc., with its permission. <br /> Copyright,©2006, 2007, 2012 by ISO Properties, Inc., and ISO Services Properties, Inc., <br /> ALL RIGHTS RESERVED. <br />