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CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 <br />CG 20 10 12 19Policy Number: GL9925605 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED – OWNERS, LESSEES OR <br />CONTRACTORS – SCHEDULED PERSON OR <br />ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />Commercial General Liability Coverage Part <br />Schedule <br />Name Of Additional Insured Person(s) <br />Or Organization(s)Location(s) Of Covered Operations <br />WHERE REQUIRED BY WRITTEN CONTRACT.ALL LOCATIONS WHERE REQUIRED BY <br />WRITTEN CONTRACT. <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 <br />include as an additional insured the person(s) <br />or organization(s) shown in the Schedule, but <br />only with respect to liability for "bodily injury", <br />"property damage" or "personal and advertising <br />injury" caused, in whole or in part, by: <br />1.Your acts or omissions; or <br />2.The acts or omissions of those acting on <br />your behalf; <br />in the performance of your ongoing operations <br />for the additional insured(s) at the location(s) <br />designated above. <br />However: <br />1.The insurance afforded to such additional <br />insured only applies to the extent permitted <br />by law; and <br />2.If coverage provided to the additional <br />insured is required by a contract or <br />agreement, the insurance afforded to such <br />additional insured will not be broader than <br />that which you are required by the contract <br />or agreement to provide for such additional <br />insured. <br />B.With respect to the insurance afforded to these <br />additional insureds, the following additional <br />exclusions apply: <br />This insurance does not apply to "bodily injury" <br />or "property damage" occurring after: <br />1.All work, including materials, parts or <br />equipment furnished in connection with such <br />work, on the project (other than service, <br />maintenance or repairs) to be performed by <br />or on behalf of the additional insured(s) at <br />the location of the covered operations has <br />been completed; or <br />2.That portion of "your work" out of which the <br />injury or damage arises has been put to its <br />intended use by any person or organization <br />other than another contractor or <br />subcontractor engaged in performing <br />operations for a principal as a part of the <br />same project. <br />DocuSign Envelope ID: B0CC6E8C-989C-4854-866A-C851246CD33D