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ADDITIONAL INSURED – OWNERS, LESSEES OR …

POLICY NUMBER:COMMERCIAL GENERAL LIABILITYTHIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT 20 10 11 85 Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1ooADDITIONAL INSURED OWNERS, LESSEES ORCONTRACTORS (FORM B)This endorsement modifies insurance provided under the following:COMMERCIAL GENERAL LIABILITY COVERAGE of Person or Organization:(If no entry appears above, information required to complete this endorsement will be shown in the Declarationsas applicable to this endorsement.)WHO IS AN INSURED (Section II) is amended to include as an INSURED the person or organization shown in theSchedule, but only with respect to liability arising out of "your work" for that INSURED by or for NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 10 07 04 ISO Properties, Inc., 2004 Page 1 of 1!

policy number: commercial general liability cg 20 10 07 04 this endorsement changes the policy. please read it carefully. cg 20 10 07 04 ' iso properties, inc., 2004 page 1 of 1! additional insured

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