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Business Auto Policy <br />uio „, uio a„ , um uii uio <br />o r INmoil Im ��m r 1 of II <br />I 1 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under the following: <br />AUTO DEALERS COVERAGE FORM <br />BUSINESS AUTO COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless <br />modified by the endorsement. <br />This endorsement changes the policy effective on the inception date of the policy unless another date is <br />indicated below. <br />Named Insured: IEC CORPORATION <br />Endorsement Effective Date: 07/31 /2020 <br />SCHEDULE <br />Name(s) Of Person(s) Or Organization(s)' <br />ANY PERSON OR ORGANIZATION FOR WHOM OR WHICH YOU ARE REQUIRED BY WRITTEN CONTRACT <br />OR AGREEMENT TO OBTAIN THIS WAIVER FROM US. YOU MUST AGREE TO THAT REQUIREMENT PRIOR <br />TO LOSS. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or <br />organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" <br />or the "loss" under a contract with that person or organization. <br />Form No: CA 04 44 10 13 <br />Endorsement Effective Date: Endorsement Expiration Date: <br />Endorsement No: 4; Page: 1 of 1 <br />Underwriting Company: Valley Forge Insurance Company, 151 N Franklin St, Chicago, IL 60606 <br />Po <br />Risk Mwdgmml lNown <br />Po <br />ftEmEwEo & A"R vE Ry. <br />Po <br />uN <br />% A'oodo <br />."'."• <br />Ri,kM1r9:—gcn—tQY i-lAdie <br />© Copyright Insurance Services Office, Inc., 2011 <br />