Laserfiche WebLink
09't29 DEC 19, 2003 FIR: ESTHER MYERS #39002 PAGE: 2 2 <br />11/11/03 09:12:21 From:949-47' ,0 To:17145693099 HUII & eany, Znc.Page:004/5 <br />NAUTILUS INSURANCE COMPANY <br />POLICY NUMBER LIABILITY ENDORSEMENT <br />THIS ENDORSEMENT CHANCES THE POLICY. PLEASE READ IT CAREFJLLY. <br />ADDITIONAL INSURED ENDORSEMENT <br />This endorsement modifies insurance provided under the following <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name of Person or Organization <br />Premium $ <br />WHO IS AN INSURED (Section II) is amended to inelude as an insured the person or organ¢ation shown in <br />the Schedule and only for liability arising out of your negligence and only for occurrences or coverages not <br />otherwise excluded in the policy to which this endorsement applies. <br />YOV policy is primary in the event of an occurrence caused by your�ple`negligence as respects the job <br />described below (MUST BE COMPLETED) <br />Job Description <br />�`�e,2��1ie✓�rty �e��el��?���2e1-f rlcck Eyzir�f <br />All other Terms and Conditions of this Insurance remain unchanged. <br />8 114 (04/97) <br />