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C H U B Bm Liability Insurance <br />Endorsement <br />Policy Period JULY 1, 2021 TO JULY 1, 2022 <br />Effective Date JULY 1, 2021 <br />Policy Number 3602-52-22 WCE <br />Insured APPLIED TECHNOLOGY GROUP INC. <br />Name of Company FEDERAL INSURANCE COMPANY <br />Date Issued APRIL 12, 2021 <br />This Endorsement applies to the following forms: <br />GENERAL LIABILITY <br />Under Who Is An Insured, the following provision is added. <br />Who Is An Insured <br />Additional Insured - Persons or organizations shown in the Schedule are insureds; but they are insureds only if you are <br />Scheduled Person obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by <br />Or Organization this policy. <br />However, the person or organization is an insured only: <br />• if and then only to the extent the person or organization is described in the Schedule; <br />• to the extent such contract or agreement requires the person or organization to be afforded <br />status as an insured; <br />• for activities that did not occur, in whole or in part, before the execution of the contract or <br />agreement; and <br />• with respect to damages, loss, cost or expense for injury or damage to which this insurance <br />applies. <br />No person or organization is an insured under this provision: <br />• that is more specifically identified under any other provision of the Who Is An Insured <br />section (regardless of any limitation applicable thereto). <br />• with respect to any assumption of liability (of another person or organization) by them in a <br />contract or agreement. This limitation does not apply to the liability for damages, loss, cost or <br />expense for injury or damage, to which this insurance applies, that the person or organization <br />would have in the absence of such contract or agreement. <br />Liability Insurance Additional Insured - Scheduled Person Or Organization <br />Form 80-02-2367 (Rev. 5-07) Endorsement <br />A <br />