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Endorsement No. _ <br /> Effective Date: 08/01/2019 @12:01 a.m. Standard Time at the address of the Named Insured <br /> Policy Number: SP002682-03-2019 <br /> Insured Name: Gregg Drilling,LLC <br /> Issuing Company:AXIS Surplus Insurance Company <br /> Additional (Return) Premium: CO <br /> If the Endorsement Effective Date is blank,then the effective date of this Endorsement is the Inception Date of the Polity. <br /> ADDITIONAL INSURED - OWNERS, LESSEES OR <br /> CONTRACTORS - COMPLETED OPERATIONS <br /> I _ndor l n _odi it in i r nc ro-id;-d nd r ollo in <br /> 'P-C : P C PO C <br /> SCHEDULE <br /> Name Of Additional Insured Person(s) <br /> Or Organization(s) Location And Description Of Completed Operations <br /> W' r r_ -_ir-d -y -ri -n con r_c or -JELm o1Cin <br /> --;c rior ro only 7 loci--d c11- <br /> n or- _Jon r--1r-d o cc . I i _:c__d_I-111o=D-n o=' ,ill l o n in ----cl-r-Ton <br /> A Section III-Who Is An Insured i nd d B. Wi r---E-c- o -- in I r nc Ord d o <br /> o incl-d- - - n ddi ion I in I r d ---- ddi ion I in I r d t '. ollo Jn- is <br /> ron i or or-_ni-Ton 5 --o--n in -- dd d oSectionIV-LimitsOfInsurance: <br /> c d I ---only -i-r- -c-.o li--ili:y or _Co-fir ro id d o 1 ddi ion 1 in7-r-d <br /> Bodily Injury or Property Damage c-- t d i- r---ir d y con r c-or -1--- _n—_ <br /> in --ol-_ or in r y Your Work o-t ill -y on --_I -o -- -ddi ion I <br /> loc-ion d i n -d nd cl-=cri :--d in -- in r d i-:-- --o-n o in, i t nc <br /> -c--d I o 'i _ ndor-E- -n-- ror d or <br /> ddi ion:I in 1 r d nd incl d d in 1. it d -y ---conr-c-or r n or <br /> Products-Completed Operations Hazard. 2. :-_ I it I nd r - --Tic-]- 1-i-:o-: <br /> 0 1 r: n I Ir nc -=o-n in ----ctr-'ion ' <br /> 1. in L r-nc- :--ord -d o =c- -ddi-ion A ic'--Sr ii l I . <br /> in I r d only li o -- --Ln --1- -1dor I n 1 II no incr __C -- <br /> r_is=d y I Ind _--lie --1 ' i i o In 1 r nc i o _n in -:- <br /> 2. co 1 r : -ro id A o -- tldi ion I 5-al-r-ion <br /> in I r d i-: r- :it d -y - con n-c- or <br /> -r--- n in I r nc i Ord d o <br /> C - ddi ion I in I r d ill no <br /> so-d r In - -ic- yo r r it d <br /> y I conr-c-or - r ---n o ro-id <br /> or I c ddi ion I in 1 r d. <br /> Includes copyrighted material of Insurance Services Office, Inc with its permission <br /> CG 20 37 04 13 <br /> SPP 2037 13(06 12) Page 1 of 1 <br /> 51017096 1 19-20 GL-AUTO WC XS-CPL-PROP I Phyllis Johnson 1 9/6/2019 2:23:12 PM (PDT) I Page 10 of 14 <br />