PALP, INC. DBA EXCEL PAVING CO. (2)

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BITCO General Insurance Corporation BITCO National Insurance Company ADDITIONAL INSURED—PRIN64RYAND NON-OONTA1113UTORY This endorsement changes the policy. Please read it carefully. This endorsement modifies insurance provided under the following: BUSI NESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "Insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. SCHEDULE Name of Person(s)or Organization(s): THERE REQUIRED BY AN EXECUTED WRITTEN CONTRACT (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement,) Each person or organization shown in the Schedule is an"Insured"for Liability Coverage, but only to the extent that person or organization qualifies as an "insured' under the Who Is An Insured Provision contained in Section II of the Coverage Form. If the person or organization shown in the schedule qualifies as an "insured' for Liability Coverage, and they have coverage as a first-named insured under another policy,this policy is primary to and non-contributory with that other insurance. All other terms,conditions,and exclusions apply. Named Insured: PALP, INC. DBA EXCEL PAVING COMPANY Policy Number: CAP 3758662 Endorsement No.: Pol icy Period: 06-01-25 to 06-01-26 Endorsement Effective Date: Producer's Name: THE BALDWIN GROUP SOUTHEAST LLC Producer Number: 0006686 AUTHORIZED REPRESENTATIVE DATE AA 5338(01/22)