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POLICY NUMBER: RAD943781803 <br />XIC 414 1013 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED <br />This endorsement modifies insurance provided underthe following: <br />BUSINESS AUTO COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />AUTO DEALERS COVERAGE FORM <br />With respect to coverage provided bythis endorsement, the prWelons•of the Coverage Form apply unless modified <br />by the endorsement. <br />Schedule <br />Additional Insured(s) <br />Work <br />Any person or organization you have agreed to <br />All Operations <br />include as an additional insured under written contract, provided <br />such contract was executed prior to the date of loss. <br />COVERED AUTOS LIABILITY COVERAGE, Who Is An Insured, Is amended to Include as an "insured" the <br />person or organization listed in the Schedule above, but only with respect to liability for "bodily injury" or "property <br />damage" otherwise covered under this policy caused, in whole or In part, by the negligent acts or omissions of: <br />1. You, while using a covered "auto"; or <br />2. Any other person, except the additional insured or any employee or agent of the additional insured, <br />operating a covered "auto° with your permission; <br />In the performance of your work as described In the Schedule above. <br />In no event shall any person or organization listed in the Schedule became an "insured" pursuant to this <br />Endorsement if such person or organization is solely negligent. <br />IT IS FURTHER AGREED THAT IN NO EVENT SHALL ANY CONTRACT OR AGREEMENT ALTER THE <br />CONDITIONS, COVERAGES OR EXCLUSIONS SET FORTH IN THIS POLICY. <br />All other terms and conditions of this policy remain unchanged. <br />XIC 414 1013 © 13 . Wrai �r(C All Rights Reserved. Page 1 or 1 <br />May not be copi d thout permission. <br />Includes copyrighted material of Insurance Services Office, Inc., with its permission. <br />