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<br />.nar l~ ~U1U ~:~~HM <br /> <br />HjJ LHSERJEI FAX <br /> <br />916-671-1580 <br /> <br />, <br /> <br />pouCY NUMBeR: PNGOO0397300 <br /> <br />OOMMBRCIAL G~~ LJABIU'rY <br /> <br />TWI8 ENDORSEMeMf cHANGES THE POLICY. PLEASE R&AD IT cAAEFULL Y. <br /> <br />ADDmONAL INSURED - OWNERS1.LESSeES OR <br />. ' CONTRACTORS - (FORM B) . <br /> <br />, Thb el'ldol'18mem modifies InsutMts prt)vIi&d llnder the folk3wtng: ' <br />OOMM!RClAL GENER"L LIAS'LI1'Y COVERAGE PART. <br />soM'iDULE <br /> <br />Name of P..-on ot oraanlutlon: <br /> <br />An,! person or orpnfmtlOtl to 'Nh1c1'l ~u are oblgatad by virWc:l of a "'-tnen Contract fo proJid~ <br />Iosurance aucn . Is :affo~ by th\, p.V. bat cmly 9Ath I'e8pect to (1) OCCUlTWlCM ~ <br />piece d.ar uuch wr1ttcin OCX1ttcd hsa been executed ir'\d (2) ~ces res~ from <br />pertormed by yoU dUring the I)OUey perfO'd . <br /> <br />(If 1'0 entry a~el'l ~ove. Infannafiol\ rlqUk'ed tc complete thllln~ wfll ~. ehown ... tile. DealarttiCM fi <br />'!:JPrlCtbl8 to ~ tndOlEment ) <br />WHO la'AN INSURED (s&Oson II) Ia amended t.a lnck.lde 8$ en fnlured t,te person ororganl1>>flon shewn in the <br />S;htcll.Jlc, but ontvw1th ralp;C2t to liability alislng Qut of lIyour work" for thet inaUTfid by or for you <br /> <br />Coverage' pnMcfed by ttU polic'.i to tt'le AddRlonallnsurad(a) ..awn I1lhe SohedUle Shall be <br />plhary nuance 8nd enyother fftsurance mllntllned by the AddJtk21allnlUrecI(a) 'han be <br />exc8BtI 9I1d ncn..oonbtbutbrY I bUt oriy if req Lllr$d Of the Named IlSJrId and by WIitIeri CQntract <br /> <br />co 2010 11 85 <br /> <br />~lln$tiTancaliMoesOffiOO.lne. 19M <br /> <br />P8Qe 1 cf1 <br /> <br />p.2 <br /> <br />c <br />