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<br />M.s350 (1012008) <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED <br /> <br />SCHEDULE <br /> <br />Name of Person or Organization (Addltlona/lnsured): <br /> <br />A person or organization for which designation as an "additional insured' (and subject to Section A below) is <br />required by written contract with the Named Insured. <br /> <br />Location of Covered Operations: <br /> <br />Only the locations at which the Named Insured performs work or operations under written contract with the <br />Additional Insured. <br /> <br />A. Who Is An Insured (Section II) is amended to include as an insured the person or organization (called <br />"additional insured') shown in the Schedule but only with respect to liability arising out of: <br />1. Your ongoing operations performed for the additional insured(s) at the IocaIion designated above; Or <br />2. Your ongoing operations at the location designated above W the additional insured is the owner of the <br />designated location; or <br />3. Acts or omissions of the additional insured(s) in connection with their general supervision of such operations. <br /> <br />B. With respect to the insurance afforded these additional insureds, the follaNing additional provisions apply: <br /> <br />This insurance does not apply to: <br />1. 'Bodily injury", 'property damage' or 'personal and advertising injury' for which the additional insured(s) are <br />obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion <br />does not apply to liability for damages that the additional insured(s) would have in the absence of the contract <br />or agreement <br />2. 'Bodily injury", 'property damage' or 'peISOI1al and advertising injury" arising out of any act or omission of the <br />additional insured(s) or any of their 'employees', other than the general supervision by the additional <br />insured(s) of your ongoing operations perlormed for the additional insured(s). <br />3. "Property damage' to: <br />8. Property owned, used or occupied by or rented to the additional insured(s); <br />b. Property in the care, custody, or control of the additional insured(s) or over which the additional <br />insured(s) are for any purpose exercising physical oontrol; or <br />c. 'Your work'. <br />4. 'Bodily injury", 'property damage' or 'personal and advertising injury' occurring after 'your work' at the <br />involved designated location has been completed. <br /> <br />Company Name Pelley Number <br /> EndolsementE_ <br />Named Insured Countersigned by <br /> <br />(Aulhorized Representative) <br />(The ~ Clause need be compIe1od only when II1Is endorsement is Issued subsequent to p<eparation of Ihe policy.) <br /> <br />M.s350 (1012008) <br /> <br />Conlalns CO!>I'Iill/1fed _of Insurance _ 0IIice, Inc. e 1996.....w!ln pennlaslon <br /> <br />35 <br />