<p>POLICY NUMBER: PCXXXX COMMERCIAL GENERAL LIABILITY CPA-CGA 24 9926 10 07</p><p>THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED-OWNERS, LESSEES OR CONTRACTORS (FORM B)</p><p>This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE</p><p>Name of Person(s) or Organization(s); Location(s) of covered operations; Additional Insured(s) Address: [FILL-IN ADD’L INSURED NAME AND PROJECT LOCATION – UP TO 4 LINES OF TEXT] [ADD’L INSURED STREET ADDRESS] [ADD’L INSURED CITY, STATE, ZIP CODE]</p><p>(If no entry appears above, the information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.)</p><p>A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury," "property damage" or "personal and advertising injury" caused, in whole or in part, by: </p><p>1. Your acts or omissions; or </p><p>2. The acts or omissions of those acting on your behalf; in the performance of “your work” for the additional insured(s) at the location(s) designated above performed for that insured and included in the “products-completed operations hazard in accordance with this policy.</p><p>CPA-CGA 24 9926 10 07 </p>