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Policy Number TB2•Z91.454286-019 <br />Issued by Liberty Mutual Fire Ins, Co, <br />THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY, <br />OTHER INSURANCE AMENDMENT -SCHEDULED ADDITIONAL INSURED <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART <br />LIQUOR LIABILITY COVERAGE PART <br />Schedule <br />Name of Person(s) or Organization(s): <br />If you are obligated under a written agreement to provide liability insurance on a primary, excess, contingent, or any <br />other basis for any person(s) or organization(s) shown in the Schedule of this endorsement that qualifies as an <br />additional insured on this Policy, this Policy will apply solely on the basis required by such written agreement and <br />Paragraph 4. Other Insurance of Section IV — Conditions will not apply, Where the applicable written agreement <br />does not specify on what basis the liability insurance will apply, the provisions of Paragraph 4.Other Insurance of <br />Section IV — Conditions will apply. However, this insurance is excess over any other insurance available to the <br />additional insured for which it is also covered as an additional insured for the same "occurrence", claim or "suit', <br />REVIEWED & APPROVED <br />ey Risk A4ANAorWN1T Ilivisiop, <br />F3:VL1LL.AV—r-- <br />-rTrrTTVV-IF <br />LC 24 20 1118 © 2018 Liberty Mutual Insurance Page 1 of 1 <br />Includes copyri tad mat riial of I Krance Servic uOffice, Inc., with Its permission. <br />