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.fat <br />(till � <br />Chicago, IL 00 <br />Primary and Non-contributory, Additional Insured and <br />Waiver of Subrogation <br />Policy Number: 1000066896201 Effective Date: April 5, 2021 at 12:01 A.M. <br />Named Insured: Big Ben, Inc, <br />This endorsement modifies the Insurance coverage form(s) listed below that have been purchased by you and <br />evidenced as such on the Declarations page. Please read the endorsement and respective policy(ies) carefully. <br />Commercial General Liability Coverage Form <br />Owners and Contractors Protective Liability Coverage Form <br />Products/Completed Operations Liability Coverage Form <br />Contractors Pollution Liability Coverage Form <br />Professional Liability Coverage Form <br />SCHEDULE Site Pollution Liability Coverage Form <br />Where Required By Written Contract <br />A. SECTION II - WHO is AN INSURED is amended to include as an insured the person or organization shown In <br />the schedule of this endorsement, but only with respect to liability arising out of "yourwork" for that Insured by or <br />for you. <br />B. As respects additional insureds as defined above, this Insurance also applies to "bodily Injury" or "property <br />damage" arising out of your negligence when the following written contract requirements are applicable: <br />1. Coverage available under this coverage part shall apply as primary Insurance. Any other Insurance <br />available to these additional insured's shall apply as excess and not contribute as primary to the insurance <br />afforded by this endorsement. <br />2. We waive any right of recovery we may have against these additional insured's because of payments we <br />make for injury or damage arising out of "your work" done under a written contract with the additional <br />insured. <br />3. The term Insured is used separately and not collectively, but the inclusion of more than one insured shall <br />not increase the limits or coverage provided by this insurance. <br />Insureds and Agents are advised that certificates of insurance should be used only to provide evidence of insurance <br />In lieu of an actual copy of the applicable insurance policy. Certificates should not be used to amend, expand or <br />otherwise alter the terms of the actual policy. <br />All other terms and conditions of this Policy remain unchanged. <br />Signed for STARR SURPLUS LINES INSURANCE COMPANY <br />-� <br />Steve Blakey, President Nehemiah E. Ginsburg, Genera ounsel <br />�. RiskM.negementDivlelrni <br />aL 029 (06111) REvl�o&APPRovaJBY... <br />CapydghtO C.V.$IerYA Cenlpsny dnd 9lgYY Surplus Lines Insurance Contpeny. Ali Ylfllue reearved. q Fg p� rr'' rr,, <br />Includes copyrighted m ld-d"I sl 180 I'MuCales, Inc., used with Its peralssriNt , r' M&N�Q R,. litt � <br />Rnk Management Analyst <br />