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Policy Number: 793011335 0000 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - <br /> SCHEDULED PERSON OR ORGANIZATION - FORM III <br /> This endorsement modifies coverage provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> CONTRACTORS ENVIRONMENTAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> Name Of Additional Insured Person(s) <br /> Or Organization(s) Location(s)Of Covered Operations <br /> Any person or organization that the Any location, and completed operations <br /> Named Insured agreed to add as an at such location, where required by the <br /> additional insured in a written contract written contract or written agreement in <br /> or written agreement that was fully which the Named Insured agreed to add <br /> executed by the Named Insured prior to the person or organization qualifying as <br /> the performance of the Named Insured's an additional insured under this <br /> work that is the subject of such written endorsement. <br /> contract or written agreement. <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 include as an additional insured the person(s) or <br /> organization(s) shown in the Schedule, but only with respect to liability for bodily injury, property damage, <br /> environmental 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 location(s)designated above. <br /> However <br /> 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and <br /> 2. If coverage provided to the additional insured is required by a contractor agreement, the insurance afforded <br /> to such additional insured will not be broader than that which you are required by the contractor agreement <br /> to provide for such additional insured. <br /> B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: <br /> This insurance does not apply to bodily injury, property damage or environmental damage occurring after: <br /> 1. All work, including materials, parts or equipment furnished in connection with such work, on the project <br /> (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at <br /> the location of the covered operations has been completed, or <br /> OBENV GE 346(01 19) Contains copyrighted material of Insurance Services Office,Inc.with its permission. Page 1 of 2 <br /> Copyright 2019,OneBeacon Insurance Group LLC <br /> E-INSURED <br />