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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
<br />Form SL 30 36 10 18 Page 1 of 1
<br />Process Date:10/27/2025 © 2018, The Hartford Policy Expiration Date:12/24/2026
<br />(May include copyrighted material of Insurance Services Office, Inc., with its permission)
<br />ADDITIONAL INSURED - OWNERS, LESSEES OR
<br />CONTRACTORS - COMPLETED OPERATIONS
<br />POLICY NUMBER:57 SBA BG7MJX
<br />This endorsement modifies insurance provided under the following:
<br />BUSINESS LIABILITY COVERAGE FORM
<br />Except as otherwise stated in this endorsement, the terms and conditions of the Policy apply.
<br />The following is added to Section C. WHO IS AN INSURED:
<br />Additional Insured – Owners, Lessees Or Contractors – Completed Operations
<br />a.The person(s) or organization(s) shown in the Schedule on the Declarations is also an additional insured, but
<br />only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work"
<br />and at the location designated and described in the Location And Description Of Completed Operations
<br />Schedule in the Declarations performed for that additional insured and included in the "products-completed
<br />operations hazard".
<br />b.With respect to the insurance afforded to these additional insureds, this insurance does not apply to "bodily
<br />injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to
<br />render, any professional architectural, engineering or surveying services, including:
<br />(1)The preparing, approving, editing of or failure to prepare or approve, shop drawings, maps, opinions,
<br />reports, surveys, change orders, field orders, designs, drawings, specifications, warnings,
<br />recommendations, permit applications, payment requests, manuals or instructions;
<br />(2)Supervisory, inspection, quality control, architectural, engineering or surveying activities or services;
<br />(3)Maintenance of job site safety, construction administration, construction contracting, construction
<br />management, computer consulting or design software development or programming service, or selection
<br />of a contractor or programming service;
<br />(4)Monitoring, sampling, or testing service necessary to perform any of the services included in (1),(2)or (3)
<br />above;
<br />(5)Supervision, hiring, employment, training or monitoring of others who are performing any of the services
<br />included in (1), (2) or (3) above;
<br />c.The insurance afforded to these additional insureds only applies to the extent permitted by law.
<br />d.If coverage provided to these additional insureds is required by a written contract, agreement or written permit
<br />issued by a state or governmental agency or subdivision or political subdivision, the insurance afforded to
<br />these additional insureds will not be broader than that which you are required by the contract, agreement or
<br />permit to provide for these additional insureds.
<br />Docusign Envelope ID: 6F743673-03C8-43C0-95A5-67A331894F1D
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