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1CG 20 10 07 04 ©Insurance Services Office, Inc.Page <br />Certain Underwriters at Lloyds <br />Unique Market Reference B0868PFDBA1804040 <br />effective date of this endorsement: 4/27/2024 policy number: ENC 0003384-06 <br />Endorsement Number: 00 <br />ADDITIONAL INSURED – OWNERS, LESSEES OR CONTRACTORS – SCHEDULED PERSON OR <br />ORGANIZATION <br />In consideration of an additional premium of $0, this endorsement modifies insurance <br />provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />All other terms and conditions of this Policy remain unchanged. <br />SCHEDULE <br />Name of Additional Insured Person(s) Or <br />Organization(s): <br />Location(s) of Covered Operations <br />Any person(s) or organization(s) where this <br />endorsement is required by contract. <br />All project locations where this <br />endorsement is required by contract. <br />Information required to complete this Schedule, if not shown above, will be shown in the <br />Declarations. <br />A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) <br />or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", <br />"property damage" or "personal and advertising 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 your behalf; <br />in the performance of your ongoing operations for the additional insured(s) at the <br />location(s) designated above. <br />Docusign Envelope ID: BBE8D3B6-000D-4C54-9568-187BC83317F9