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Policy Number: Yv,1.Z91- 458727 -013 Insured: DMS Facility Services, LLC, etal <br />Issued by: Wausau Underwriters Insurance Company <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <br />PRIMARY AND NON- CONTRIBUTORY— SCHEDULED ADDITIONAL INSURED <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART <br />LIQUOR LIABILITY COVERAGE PART <br />Schedule <br />Person or Organization: <br />As specified in a written agreement which is signed in advance of the <br />"occun-ence" or offense for which the additional insured seeks <br />coverage. <br />° If you are obligated under a written agreement to provide liability insurance on a primary, excess, contingent, or <br />any other basis for any person or organization shown in the Schedule that is an additional insured on this policy, <br />this policy will apply solely on the basis required by such written agreement If the applicable written agreement <br />does not specify on what basis the liability insurance will apply, this insurance shall be excess over any other <br />valid and collectible insurance available to the additional insured, whether such insurance is on an excess, <br />contingent or primary basis. Condition 4 Other Insurance of Section IV is revised accordingly, <br />LID 24 10 06 11 © 2011 Liberty Mutual Group of Companies. All rights reserved. <br />Includes copyrighted material of Insurance Services Office, Inc., with <br />its permission. <br />Page 1 of 1 <br />