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U-GL-1466-D CW (12-13) <br />Page 1 of 2 <br />Includes copyrighted material of Insurance Services Office, Inc., with its permission. <br />Additional Insured – Owners, Lessees Or Contractors – <br />Completed Operations – Scheduled <br />Policy No.Eff. Date of Pol.Exp. Date of Pol.Eff. Date of End.Producer No.Add’l. Prem Return Prem. <br />GLO 1817406-04 10/01/2022 10/01/2023 75272000 INCL <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under the: <br />Commercial General Liability Coverage Part <br />SCHEDULE <br />Name of Person or Organization:Location and Description of <br />Completed Operations: <br />Additional <br />Premium: <br />ANY PERSON OR ORGANIZATION TO WHOM <br />OR TO WHICH YOU ARE REQUIRED TO <br />PROVIDE ADDITIONAL INSURED STATUS <br />IN A WRITTEN CONTRACT OR WRITTEN <br />AGREEMENT EXECUTED PRIOR TO THE <br />LOSS, EXCEPT WHERE SUCH CONTRACTOR <br />OR AGREEMENT IS PROHIBITED BY LAW. <br />ANY LOCATION OR PROJECT, OTHER <br />THAN A WRAP-UP OR OTHER <br />CONSOLIDATED INSURANCE PROGRAM <br />LOCATION OR PROJECT FOR WHICH <br />INSURANCE IS OTHERWISE SEPARATELY <br />PROVIDED TO YOU BY A WRAP-UP OR <br />OTHER CONSOLIDATED INSURANCE <br />PRGRAM. <br />N/A <br />DocuSign Envelope ID: 48E04398-875F-4801-9667-CCD48D6014E1