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C H U B B° Liability Insurance Endorsement Policy Period Effective Date Policy Number Insured Name of Company Date issued This Endorsement applies to the following forms: MAY 17, 2022 TO MAY 17, 2023 MAY 17, 2022 3602-53-12 TPA CIVICPLUS, LLC VIGILANT INSURANCE COMPANY JULY 1, 2022 GENERAL LIABILITY Under Who Is An Insured, the following provision is added Who Is An Insured Additional Insured - Persons or organizations shown in the Schedule are insureds; but they are insureds only if you are Scheduled Person obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by Or Organization this policy. However, the person or organization is an insured only: • if and then only to the extent the person or organization is described in the Schedule; • to the extent such contract or agreement requires the person or organization to be afforded status as an insured; • for activities that did not occur, in whole or in part, before the execution of the contract or agreement; and • with respect to damages, loss, cost or expense for injury or damage to which this insurance applies. No person or organization is an insured under this provision: • that is more specifically identified under any other provision of the Who Is An Insured section (regardless of any limitation applicable thereto). • with respect to any assumption of liability (of another person or organization) by them in a contract or agreement. This limitation does not apply to the liability for damages, loss, cost or expense for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contract or agreement. Liability Insurance Additional insured - Scheduied Person Or Organization Form 80-02 2367 (Rev. 5-07) Endorsement Risk Muaigmad DlMsian E REVIEWED & APPROVED BY: e Aeevaa '�--'Rfsk Management Specialist