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COMM RCI L G NERAL IAB LI YE A E L I T <br />T IS ENDORSEMENT CHANGES T E POLICY. PLEASE REA IT CA EF LLYHHD R U . <br />BLANKET ADDITIONAL INSURED – A TOMA IC STA USU T T <br />IF REQUIRED BY WRITTEN CONTRACT (CONTRACTORS) <br />Thi e dorseme t m dfie i surance prov ded under he f l o ing:s n n o i s n i t o l w <br />COMM RCI L G NERAL IAB LI Y COVERAG PA TE A E L I T E R <br />The fol owing is ad ed told SE TI N II – WHO IS AN (a)C O The Addi ional Insured – Owne s, Le -t r s <br />INSU EDR:see or Contra tors – Scheduled Persos c n <br />or Organizat o endorsem n CG 20 10i n e tAny erson or o ganiza io tha :p r t n t 07 04 o CG 20 10 04 13, the Addi ionalrta.Yo agree in a writ en cont a t o ag ee ent tout r c r r m In ured – Owne s, Le see or Con ra -s r s s t ci clu e as an a ditio al insured on thi Cov ragen d d n s e to s – Com le ed Ope ations endorser p t r -Pa t anr ; d m n CG 20 37 07 04 or CG 20 37 04 13,e tb.Ha not been added a an additio al in ured foss n s r or both o such endo seme ts wi h ei hefr n t t rthe sam proje t by at a hm nt o an en orsee c t c e f d -o ho e ed tio date ; orf t s i n sm n under thi Cov rage Pa t which includee t s e r s (b)Ei her or bot o the fol o ing the Addit h f l w : -such perso or organi at on in the endorsem nt'sn z i e tio al In ured – Owne s, Le sees o Con-n s r s rschedule;tra to s – Scheduled Person Or Organ -c r ii a insured but:s n ,za ion en orsem n CG 20 10, o the Ad-t d e t r <br />a.On y with re pe t to lia ili y fo "bodily injury di ional Insured – Owl s c b t r t ne s, Le see or s s r" or <br />Co tra tors – Com le ed Ope atio s en-n c p t r n"prope ty dam ge that o cur , or fo "perso alr a " c s r n <br />do sem nt CG 20 37, wi hout a edit or e t n i ni ju y caused by an o f n e that is com it ed,n r "f e s m t <br />da e o uch endo sem nt pe i ie ;t f s r e s c f dsubsequent to the signing of that contract or <br />ag ee ent and while that pa t o the cont a t or m r f r c r the person o o gan zat on i an addit onal inr r i i s i -ag ee ent s in e fe t andr m i f c ;sure only i the in ury or dama e i ca sed,d f j g s u <br />b.On y a de cri ed in Paragraph be i whole o in part by al s s b -n r , cts o omssions or i f(1),(2)or (3) <br />y u or you subcont a tor in the pe fo man eo r r c r r clow, whichev r appl e :e i s <br />o "y u work" to whi h the writ en cont act of o r c t r r(1)If the wri ten cont act or ag ee ent speci i a-t r r m f c l ag ee ent ap lie ; or m p s rly require you to prov de addi ional insuredsi t <br />(3)If ne ther aragraphi P (1)nor (2)abov appl e :e i scov rage to tha person or organi ation byetz <br />the se o :u f (a)The perso or o ganizat o is a addin r i n n - <br />tio al i sured only if a d to the ex entn n , n t(a)The Additional Insured – Owners, Les- <br />that the injury o dama e i ca sed by,r g s usee o Cont actors – (Form B) en orses r r d - <br />a t or omi sions o y u o y u subcon-c s s f o r o rm n G 20 10 11 85; ore t C <br />tra to in the pe fo ma ce o "y ur workc r r r n f o "(b)Ei her or bot o the fol o ing the Addit h f l w : -to whi h the wri ten co tra t o agree-c t n c rtio al In ured – Owne s, Le sees o Con-n s r s r m nt applie ; ande stra to s – Scheduled Person Or Organ -c r i <br />(b)Su h pe son o organiza io does notc r r t nzation endorsement CG 20 10 10 01, or <br />qual fy a an addi ional insured with rei s t -the Addit onal Insured – Owne s, Le seeir s s <br />spe t to the independent acts or om s-c ior Co tra tors – Com leted Ope ationsn c p r <br />sio s o uch erson or organizationn f s p .endo sem nt G 20 37 0 01;r e C 1 <br />The insurance prov ded to such addi ional i sured isit nthe person o o gan zat on i an addit onal inr r i i s i - <br />subje t o he fo lowing p ov sion :c t t l r i ssure only if the inju y or dama e ari e outdr g s s <br />o "y u work" to whi h the writ en cont act of o r c t r r a.If the Lim t o Insurance o thi Cov rage Parti s f f s eag ee ent ap lie ;r m p s shown i the De larat on ex eed the mnim mn c i s c i u <br />(2)If the wri ten cont act or ag ee ent speci i a-t r r m f c l l mt req ired by the wri ten co t act o agree-i i s u t n r r <br />ly require you to prov de addi ional insuredsi t m n , the i surance prov ded to the addit o al i -e t n i i n n <br />cov rage to tha person or organi ation byetz sure wi l be lim ted to such mnim m requi edd l i i u r <br />the se o :u f l mt . For the purpo es o de erm ni g whethei i s s f t i n r <br />CG 6 04 02 19D © 2017 T e Travelers Indemnity Company. All rights rehserved.Pa e 1 o 2g f <br />POLICY NUMBER: Y-630-0R561238-PHX-25 <br />Docusign Envelope ID: 03EC0D15-D674-4D12-9ED3-8A2C214EE218