# Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization

**Policy Number:** HDO G71445653  
**Endorsement Number:** 20100  
**Commercial General Liability**  
**CG 20 10 12 19**

**THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.**

## Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization

This endorsement modifies insurance provided under the following:

**Commercial General Liability Coverage Part**

### Schedule

| Name Of Additional Insured Person(s) Or Organization(s) | Location(s) Of Covered Operations |
|---|---|
| The New York City Transit Authority (NYCT), the Manhattan and Bronx Surface Transit Operating Authority (MaBSTOA), the Staten Island Rapid Transit Operating Authority (SIRTOA), the Metropolitan Transportation Authority (MTA) including its subsidiaries and affiliates, MTA Capital Construction (MTACC), MTA Bus Company (MTA Bus), and the City of New York (City as Owner) and the respective affiliates and subsidiaries existing currently or in the future of and successors to each Indemnified Party listed herein. | All locations where you perform work for such additional insured pursuant to any such written contract. |

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

### Section II - Who Is An Insured

- **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:
  1. Your acts or omissions; or
  2. The acts or omissions of those acting on your behalf;
  in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above.
- However:
  1. The insurance afforded to such additional insured only applies to the extent permitted by law; and
  2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.
- **B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply:**
  1. This insurance does not apply to "bodily injury" or "property damage" occurring after:
     - All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or
  2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project.

**CG 20 10 12 19**  
© Insurance Services Office, Inc., 2018  
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