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POLICY NUMBER: <br />ADDITIONAL INSURED - OWNERS, LESSEES ORCONTRACTORS - SCHEDULED PERSON OR <br />ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) <br />Or Organization(s) Location(s) Of Covered Operations <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 10 12 19 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />526-81-69 <br />ANY PERSON OR ORGANIZATION WHOM YOU <br />BECOME OBLIGATED TO INCLUDE AS AN <br />ADDITIONAL INSURED AS A RESULT OF ANY <br />CONTRACT OR AGREEMENT YOU HAVE ENTERED <br />INTO. <br />PER THE CONTRACT OR AGREEMENT. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />Insurance Services Office, Inc., 2018CG 20 10 12 19 Page of12 <br />GL5268169 <br />Docusign Envelope ID: E590F64A-6151-4771-89A3-3FD985D99315