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PolicyNumber:RLIInsuranceCompany <br />PSB0003027 <br />bğƒĻķLƓƭǒƩĻķʹ <br />Scott Fazekas & Associates, Inc. <br />THISENDORSEMENTCHANGESTHEPOLICY.PLEASEREADITCAREFULLY. <br />® <br />RLIPackFORPROFESSIONALS <br />BLANKETADDITIONALINSUREDENDORSEMENT <br />Thisendorsementmodifiesinsuranceprovidedunderthefollowing: <br />BUSINESSOWNERSCOVERAGEFORM-SECTIONIIÎLIABILITY <br />1.C.WHOISANINSURED isamendedtoincludeasadditionalinsuredunderthispolicymustapplyona <br />anadditionalinsuredanypersonororganizationthatprimarybasis,oraprimaryandnon-contributory <br />youagreeinacontractoragreementrequiringbasis,thisinsuranceisprimarytootherinsurance <br />insurancetoincludeasanadditionalinsuredonthisthatisavailabletosuchadditionalinsuredwhich <br />policy,butonlywithrespecttoliabilityfor"bodilycoverssuchadditionalinsuredasanamedinsured, <br />injury","propertydamage"or"personalandandwewillnotsharewiththatotherinsurance, <br />advertisinginjury"causedinwholeorinpartbyyouprovidedthat: <br />orthoseactingonyourbehalf: <br />a.The"bodilyinjury"or"propertydamage"for <br />a.Intheperformanceofyourongoingoperations;whichcoverageissoughtoccursafteryouhave <br />enteredintothatcontractoragreement;or <br />b.Inconnectionwithpremisesownedbyorrented <br />toyou;or b.The"personalandadvertisinginjury"forwhich <br />coverageissoughtarisesoutofanoffense <br />c.InconnectionwithÐyourworkÑandincluded <br />committedafteryouhaveenteredintothat <br />withintheÐproduct-completedoperations <br />contractoragreement. <br />hazardÑ. <br />4.Thefollowingisaddedto SECTIONIIIK.2. <br />2.Theinsuranceprovidedtotheadditionalinsuredby <br />TransferofRightsofRecoveryAgainstOthersto <br />thisendorsementislimitedasfollows: <br />UsÎCOMMONPOLICYCONDITIONS(BUT <br />APPLICABLETOONLYTOSECTIONIIÎ <br />a.Thisinsurancedoesnotapplyonanybasisto <br />LIABILITY) <br />anypersonororganizationforwhichcoverage <br />asanadditionalinsuredspecificallyisaddedby <br />Wewaiveanyrightsofrecoverywemayhave <br />anotherendorsementtothispolicy. <br />againstanypersonororganizationbecauseof <br />paymentswemakefor"bodilyinjury","property <br />b.Thisinsurancedoesnotapplytotherendering <br />damage"or"personalandadvertisinginjury"arising <br />oforfailuretorenderany"professional <br />outof"yourwork"performedbyyou,oronyour <br />services". <br />behalf,underacontractoragreementwiththat <br />c.Thisendorsementdoesnotincreaseanyofthe <br />personororganization.Wewaivetheserightsonly <br />limitsofinsurancestatedin D.LiabilityAnd <br />whereyouhaveagreedtodosoaspartofa <br />MedicalExpensesLimitsofInsurance. <br />contractoragreementwithsuchpersonor <br />organizationenteredintobyyoubeforethe"bodily <br />3.Thefollowingisaddedto SECTIONIIIH.2.Other <br />injury"or"propertydamage"occurs,orthe"personal <br />InsuranceÎCOMMONPOLICYCONDITIONS <br />andadvertisinginjury"offenseiscommitted. <br />(BUTAPPLICABLEONLYTOSECTIONIIÎ <br />LIABILITY) <br />However,ifyouspecificallyagreeinacontractor <br />agreementthattheinsuranceprovidedtoan <br />ALLOTHERTERMSANDCONDITIONSOFTHISPOLICYREMAINUNCHANGED. <br />PPB3040212Page1of1 <br /> <br />