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Attachment Code: D678439 Master ID: 1566486, Certificate iD: 22674129 <br />5 W- 0, 441 <br />Business Auto Policy <br />Policy Endorsement <br />It is understood and agreed thatthisendorsement amends the BUSINESSAUTO COVERAGE FORM as follows; <br />SCHEDULE <br />Name of AddkionaI Irnmed Person Or Organisation <br />Any person or organization on whose behalf we are required to provide additional insured - primary and non- <br />contributory coverage under a written contract or agreement <br />1. In conformance with paragraph A.1.c. of Who Is An Insured of Section II - LIABILITY COVERAGE, <br />the person or organization scheduled above is an insured under this policy. <br />2. The insurance affordedto the additional insured underthis policy will apply on a primary and non- <br />contributory basis if you have committed it to be so in a written contract or written agreement executed <br />prior to the date of the "accident" for which the additional insured seeks coverage under this policy. <br />All other terms and conditions of the policy remain unchanged <br />This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes <br />effect on the Policy Effective date of said policy at the hour stated in said policy, unless another effective date (the <br />Endorsement Effective Date) is shown below, and expires concurrently with said policy. <br />i Form No: CNA71527XX(10-2012) <br />Endorsement Effective mate: Endorsement Expiration Date: <br />Endorsement No: ; Page: 1 of 1 <br />Underwriting C ompany: 03ntinental Ca 151 N Fran Id in St Chicago, IL 60606 <br />Copyright C NIA All Rights Reserved. <br />PoIiWNo: BU,A8035456924Policy <br />Eff e.ctive D ate: 01/01/ 20 26 <br />