Laserfiche WebLink
ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION <br />Named Insured <br />Endorsement Number <br />Werner Enterprises, Inc. <br />1 <br />Policy Symbol <br />Policy Number <br />Policy Period <br />Effective Date of Endorsement <br />XSL <br />G72481112 <br />08/01 /2021 to 08/01 /2022 <br />Issued By (Name of Insurance Company) <br />ACE American Insurance Company <br />Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under the following: <br />EXCESS COMMERCIAL GENERAL LIABILITY POLICY <br />SCHEDULE <br />Name of Person or Organization: Any person or organization whom you have agreed to include as an <br />additional insured under a written contract, provided such contract was executed prior to the date of loss. <br />A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property <br />damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the <br />acts or omissions of those acting on your behalf: <br />1. In the performance of your ongoing operations; or <br />2. In connection with your premises owned by or rented to you. <br />However: <br />1. The insurance afforded to such additional insured only applies to the extent permitted by law; and <br />2. If coverage provided to the additional insured is required by a contract or agreement, the insurance <br />afforded to such additional insured will not be broader than that which you are required by the <br />contract or agreement to provide for such additional insured. <br />B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — <br />Limits Of Insurance And Retained Limit: <br />If coverage provided to the additional insured is required by a contract or agreement, the most we will pay <br />on behalf of the additional insured is the amount of insurance: <br />1. Required by the contract or agreement; or <br />2. Available under the applicable Limits of Insurance shown in the Declarations; <br />whichever is less. <br />This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. <br />Authorized Representative <br />Risk ManaganadDivisian <br />+� \@ REVIEWED & APPROVED BY: <br />XS-6W25b (04/13) Includes copyrighted material of Insurance Services Office, Inc., with its pei <br />�_r- Risk Management Specialist <br />