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POLICY NUMBER: CE22CGL1326961C <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 10 10 01 <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 Person or Organization: <br />Any person or organization for whom you are performing operations during the policy period have agreed in <br />writing in a contract or agreement be added as an additional insured on your policy <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as <br />applicable to this endorsement.) <br />A. Section II - Who Is An Insured is amended to <br />include as an insured the person or organization <br />shown in the Schedule, but only with respect to <br />liability arising out of your ongoing operations <br />performed for that insured. <br />B. With respect to the insurance afforded to these <br />additional insureds, the following exclusion is <br />added: <br />2. Exclusions <br />This insurance does not apply to "bodily in- <br />jury" or "property damage" occurring after: <br />SAMPLE <br />(1) All work, including materials, parts or <br />equipment furnished in connection with <br />such work, on the project (other than <br />service, maintenance or repairs) to be <br />performed by or on behalf of the addi- <br />tional insured(s) at the site of the cov- <br />ered operations has been completed; <br />or <br />(2) That portion of "your work" out of which <br />the injury or damage arises has been <br />put to its intended use by any person or <br />organization other than another con- <br />tractor or subcontractor engaged in <br />performing operations for a principal as <br />a part of the same project. <br />CG 20 10 10 01 © ISO Properties, Inc., 2000 Page 1 of 1 <br />