Laserfiche WebLink
ENDORSEMENT <br />This endorsement, effective 12:01 A.M.04/01/2021 forms a part of <br />1501203133 <br />DB559:817 <br />Qtpnbt <br />Policy No.CA448-97-06 issued to <br />PSOMAS <br />by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />SCHEDULE <br />ADDITIONAL INSURED: <br />ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE CONTRACTUALLY BOUND <br />TO PROVIDE ADDITIONAL INSURED STATUS BUT ONLY TO THE EXTENT OF SUCH <br />PERSON'S OR ORGANIZATIONS LIABILITY ARISING OUT OF THE USE OF A <br />COVERED AUTO. <br />I.SECTION II - COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. - Who Is Insured, is <br />amended to add: <br />d.Any person or organization, shown in the schedule above, to whom you become obligated <br />to include as an additional insured under this policy, as a result of any contract or agreement <br />you enter into which requires you to furnish insurance to that person or organization of the <br />type provided by this policy, but only with respect to liability arising out of use of a covered <br />"auto". However, the insurance provided will not exceed the lesser of: <br />(1)The coverage and/or limits of this policy, or <br />(2)The coverage and/or limits required by said contract or agreement. <br />AUTHORIZED REPRESENTATIVE <br />Includes copyrighted information of Insurance Services Office, Inc., <br />87950 (9/14)Page 1 of 1 <br />with its permission. <br /> <br />