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Policy #N0091PK005565 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED — SCHEDULED PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />BUSINESSOWNERS LIABILITY COVERAGE FORM <br />BUSINESSOWNERS COMMON POLICY CONDITIONS <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless <br />modified by the endorsement. <br />SCHEDULE <br />Name Of Additional Insured Person(s) Or <br />Organization(s): <br />As required by contract <br />Location Of Covered Operation(s): <br />As required by contract <br />Effective Date Of Endorsement: <br />See Declarations <br />If no entry appears above, information required to complete this endorsement will be shown in the Declarations. <br />The BUSINESSOWNERS LIABILITY COVERAGE FORM is amended as follows: <br />A. With respect to the additional insured described in Paragraph B. of this endorsement, the following exclusions <br />are added to Paragraph 1. Applicable To Business Liability Coverage under Section B. Exclusions: <br />This insurance does not apply to: <br />1. Bodily injury or property damage for which the additional insured(s) is obligated to pay damages by reason <br />of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for <br />damages that the additional insured(s) would have in the absence of the contract or agreement. <br />2. Bodily injury or property damage occurring after: <br />a. Your ongoing operations at the location of covered operations other than service maintenance or <br />repairs performed by you or on your behalf have been completed; or <br />b. The portion of your ongoing operation out of which the bodily injury or property damage arises has <br />been put to its intended use by any person or organization. <br />But in no event shall this insurance apply to bodily injury or property damage arising out of your operations <br />that were completed prior to the effective date of this endorsement. <br />3. Bodily injury or property damage arising out of any act or omission of the additional insured(s) or any of <br />its employees, agents, or contractors other than you, except for general supervision by the additional <br />insured(s) of your ongoing operations performed for that additional insured. <br />4. Property damage to: <br />a. Property owned, used, or occupied by or rented to the additional insured(s); <br />b. Property in the care custody or control of the additional insured(s) or over which the additional <br />insured(s) exercise physical control; or <br />c. Any work including materials, parts or equipment furnished in connection with such work which is <br />performed for the additional insured by you. <br />N BOL 910079 0623 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 2 <br />with its permission. <br />ATTY/AGR.2025.061/Pizzeria Cardamomo, LLC (2053A Broadway) (Page 21 of 31) <br />