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POLICY NO: PK202200016778 <br />COMMERCIAL AUTOMOBILE <br />AU 0103 0714 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - <br />DESIGNATED PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />SCHEDULE <br />Name of Additional Insured Person(s) or Organization(s): <br />Any person or organization when you and such person or organization have agreed in writing in a contract or <br />agreement that such person or organization be added as an additional insured on your policy prior to <br />performance of the agreement <br />If no entry appears above, information required to complete this endorsement will be shown in the Declarations or Schedule <br />as applicable to this endorsement. <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless <br />modified by this endorsement. <br />A.Paragraph A.1. Who Is An Insured of Section II — Covered Autos Liability Coverage is amended to <br />include as an "insured" the person(s) or organization(s) shown in the Schedule of this endorsement, <br />provided that you and such person(s) or organization(s) have agreed under an express provision in a <br />written contract or agreement, or an express condition in a written permit issued to you by a governmental <br />or public authority, that such person, organization or governmental or public authority must be added to this <br />policy as an "insured". <br />However, such person(s) or organization(s) are an "insured" only with respect to "bodily injury" or "property <br />damage" to which this insurance applies resulting from the ownership, maintenance or use of a covered <br />"auto" under this policy and only if the "bodily injury" or "property damage" is caused by an "accident' which <br />takes place after: <br />1. You executed the written contract or written agreement; or <br />2. The permit has been issued to you. <br />If the written contract or written agreement between you and the additional insured specifically requires that <br />this insurance be primary, then regardless of whether other insurance is maintained by an additional <br />insured on a primary basis, the coverage provided under this provision will be primary to and non- <br />contributing with other insurance maintained by the additional insured. <br />B.Para rah A.5. Transfer Of Rights Of Recovery Against Others To Us of Sect s <br />9 P 9 ry 9 REVIEWED&APPROVmBv: <br />Conditions is amended by the addition of the following: <br />Risk Management Supervisor <br />AU 0103 0714 Includes copyrighted material of Insurance Services Office, Inc., rage -i or 2 u <br />with its permission <br />