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POLICY NUMBER: GL3495305-03 COMMERCIAL GENERAL LIABILITY <br />NAMEb I}JSURED: AMERICAN CIV{L CONSTRUC? GRS, INC. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ 17 CAREFULLY. <br />ADDITIONAL INSURED -OWNERS, LESSEES OR <br />CONTRACTORS -COMPLETED OPERATIONS <br />This endonrernenl motlifies insurance provided Under the following: <br />CCA17dHRCIAL GENERAL LIABlLI?Y COVERAGE PART. <br />Name of Porsan or Organization: <br />SCHEDULE <br />As Regtaired by Written Contract RE; Ali Operations <br />(If no entry appears above, info:matfon required to complet_ Gels endorsement will t° shovm in Ihn <br />Declarations as applicable to this endorsement.) <br />t'1JH0 IS AN INSURED (Section II) is amended io Include as an Insured the parson or organization <br />shown in tho Schedule, but only with respect io liability arising out of "your work" at 92e location <br />designated and described In the schedule of Ltiis endorsement performed far that Insured and lrcludad <br />in the 'produets~completed operations 4azard` <br />primary Insurance: <br />This fnsurence pro-aided by klus ecuicrsement is prtrnarg insurance and we will not seek <br />contzibuticn from any other instuance available to tY:e person or organization shown in <br />the Schedule unless the other u~sru•ance is provided by a contractor othec than you for <br />the same operation a.-td job tocaticn. Tl:en we wt11 share with that other insurance b}' <br />the method described in paragraph 4.c. cf SECTION N - COI•~fi:RCIAl GENI3RAL <br />LIABILITY CONDITIONS. <br />