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POLICY NUMBER: RAD943781803 <br />XIC 414 1013 <br />THIS ENDORSEIVIENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED <br />This endorsement modifies insurance provided underlhefollowing: <br />BUSINESS AUTO COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />AUTO DEALERS COVERAGE FORM <br />With respect to coverage provided bythis endorsement, the provisions 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 underwritten contract, provided <br />such contract was executed prior to the date of lots. <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 />You, while using a covered "auto"; or <br />Z 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 become 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 4141013 <br />© n13 AL. Nm4rICA, Jrtc. IAII Rights Reserved. <br />May not be copi d Ithout permission. <br />includes copyrighted material of Insurance Services office, Inc., with its permission. <br />Page 1 of 1 <br />