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212244ii0000770009� <br />Polit.yNufnber 113)268100414571� <br />Issued by Uberty Mutual Fire 41SUrance Co, <br />'rvilS ENDORSEW-N r CHANGES THE POLICY. PL.EkiE READ lTCAREFULLY. <br />B LAN KET AD D ITIONAL, IN SU RED <br />This endorsement modifies insurance provided under the followIng, <br />C()MMERCIAL GENERAl, UAB4.1re COVEWtGE FORM <br />SECTION H­ WHO IS AN lNSURED is amended to include as an insu,ircd any person or, orgariization for whorri you <br />have agreed in writing to provide Wbility iimurance. But <br />The insurance provided by this arywendrnent <br />1 Applies only to "bodily injury' or —property darnage'arising out Of (a) 'your worW or (b) prernises or offier <br />property owned by or rented to you; <br />2. Applies only to cover -age and rnininiurn firrils of Insurance required by the written agreenient, but in no event <br />exceeds either the scope of coverage or, the limits of insurance provided by this pollcy„ and <br />3, Does not apply to any person or Dr9arization for whom you have procured separate liability Insurance hile <br />stich insurance is in effect, regardless of whether the scope of coverage or Hrrifts of insurance of this policy <br />exceed those of such other insurance or whether such other inst,wance is valid and coflectble. <br />The following provisions ahio apply: <br />'I, ftere the applicable written agreen"ient requires the insured to provide liability skjrance on a primary, excess, <br />contingent, or any otkwr basis, this policy will apply solely on the basis required by such written agreem ent and <br />Itern 4- Other 8nsurance of`'ECTION IV of fi"iis policy will not apply, <br />2. Wren the applicable written agreement does not specify on, what basis the liabNky insurance wiH apply, the <br />provisions of Itern 4. Other Insurance of SECTION IV of this policy will govern. <br />3 This enclorserrient shall not apply to any persorr or orgarrizaUori for any 'bodily injury" or "property damage' if <br />an ' y other additionW insured endorsement on this policy applies to that person or organi7ation w0i regard to the <br />-boc[Hy injury' or 'property damage". <br />4 if any other additional insured endorsement applies to any person or organization arm you are o0gated under <br />as written agreement W provide liability insurance on a primary, excess, confingent, or any other basis for that <br />add ional insured, this policy will apply sole&y on the basis required by such written agreen,writ and Item 4 <br />Other Insurance of SECTION U of this policy will riot apply, regardless of whetherlhe person or organization <br />has,,,ivailable other valid and collectible insurance, rf the applicable written agreement does not spe cry an <br />what basis the liability insurance will apply, the provisions of Item 4, Other Insurance of SECTION IV of this <br />policy will govern, <br />LN 20 01 06 05 <br />Et . J _N,BCE - RE UA - (P - G . 2.)i`5 <br />REVIEWED BY, <br />[ ----- -------- _­­ — — - ------- -- -- --- <br />