Laserfiche WebLink
NOMA 1:14 ITA I I (ORS a F-Al -.]I a I WAS1411 a <br />This endorsement modifies insurance provided under the f0owing: <br />MGM- WN a' <br />- T I" <br />With respect to coverage provided by this enclorsernent, the provisions of the Coverage Form apply unless <br />modified by this endorsement. <br />This endorsement identifies person(s) or oirganizationi(s) who are 1nsureds" for Covered Autos LiabHity Coverage <br />under the Who, is An Insured provision of the Coverage Form. This endorsement does not alter coverage <br />provided in the Coverage Form. <br />This endorsement changes the policy effective on the inception date of the policy unless another date is indicated <br />below. <br />Namedinsured: INERER WATEI,"�, PESOUR(T­�E­,", L�'­(' <br />Endorsement Effective Date: <br />Name Of Person(s) Or Organization(s): <br />ONLY WHERE YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSUREDSTATUS OR <br />ADDITIONAL INSURED STATUS ON A PRIMARY, NON-CONTRIBUTORY BASIS, IWA <br />WRITTEN CONTRACT OR WRITTEN AGREEMENT EXECUTED PRIOR TO LOSS, EXCEPT <br />I Information reauiredi to comoilete this Schedule, if not shown above, will be shown in the Deciarafions. <br />Each person or organization shown in the Schedule is <br />an "insured"" for Covered Autos Liability Coverage, but <br />only to the extent that person or organization quahfies <br />as an "insured" under the Who Is An Insured provision <br />contained in Paragraph A.1. of Section 11 — Covered <br />Autos Liability Coverage in the Business Auto and <br />Motor Carrier Coverage Forms and Paragraph D.2. of <br />Section I ­ Covered Autos Coverages of the Auto <br />Dealers Coverage Form. <br />19-01 MIS .11ro" <br />kl< MANACiENENT NVWON <br />DEC 2 0 2019 <br />01 <br />