UNIVERSAL BUILDING MAINTNENCE, LLC, DBA ALLIED UNIVERSAL JANITORIAL SERVICES

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POLICY NUMBER: RADS43781804 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED Tfns endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM AC 414 1013 With respect to coverage povtded by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. Schedule Additional Insureds Worts Any person or organization you have agreed to All Operations include as an additional insured underwritten contract, provided such contract was executed prior to the date of loss. COVERED AUTOS LIABILITY COVERAGE, Who Is An Insured, Is amended to include as an'insured" the person or organization listed in the Schedule above, but only with respect to liability for 'bodily injury' or "property damage" otherwise covered under this policy caused, in whole or in pad, by the negligent acts or omissions of. 1. You, while using a covered "auto"; or 2. Any other person, except the additional insured or any employee or agent of the additional insured, operating a covered'auto" with your permission; in the parformance of your work as described in the Schedule above. In no event shall any person or organization listed in the Schedule become an insured" pursuant to this Endorsement if such person or organization is solely negligent. IT IS FURTHER AGREED THAT IN NO EVENT SHALL ANY CONTRACT OR AGREEMENT ALTER THE CONDITIONS, COVERAGES OR E)CLUSIONS SET FORTH IN THIS POLICY. All other terms and conditions of this policy remain unchanged. XIC 414 1013 0 2013 XL America, Inc. All Rights Reserved. w.kManagvnadDMsTon May not be copied without permission. REn® EWM 6 APPROv9Y. Includes copyrighted material of Insurance Services Office, Inc., with Its permis f ►ca.c R. V:LG-uwf Risk Management Analyst