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Liability Insurance <br />Endorsement <br />Policy Period FEBRUARY 10, 2017 TO FEBRUARY 10, 2018 <br />Effective Date FEBRUARY 14, 2017 <br />Policy Number 3584-96-42 WCL; <br />Insured DMA CLAIMS, INC <br />Name of Company FEDERAL INSURANCE COMP ANY <br />This Endorsement applies to the following forms: <br />GF.NE:IiAL LIABILITY <br />ser:::�::Y««uattx�^:ca?�a^.�,:,x,� x.���,.�s��c�ro-f�::>xa:::;�x:;,�r,:�xaa. .. -•r.n^^�s,�s�:xamrcR;z�..�.r„;�^%:,�x.Y <br />Under Who Is An Insured, the following provision is aided. <br />Who Is An Insured <br />Additional Insured - Persons or organizations shown in the Schedule are insureds; but they are insureds only if you are <br />Scheduled Person obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by <br />Or Organization this policy. <br />However, the person or organization is an insure! only: <br />• if and then only to the extent the person or organization is described in the Schedule; <br />• to the extent such contract or agreement requires the person or organization to be afforded <br />status as an insured; <br />• for activities that did not occur, in whole or in part, before the execution of the contract or <br />agreement; and <br />• <br />with respect to damages, loss, cast or expense for injury or damage to which this insurance <br />applies. <br />No person or organization is an insured under this provision: <br />• that is more specifically idenphed under any other provision of the Who Is An Insured <br />section (regardless of any limitation applicable thereto). <br />• with respect to any assumption of liability (of another person or organization) by them in a <br />contract or agreement. This limitation does not apply to the liability for damages, loss, cost or <br />expense for injury or damage, to which this insurance applies, that the person or organization <br />would have in the absence of such coulract or agreement. <br />SNA°A4�m»oxaoCaa:.�iSAbx�RdC�.a`.&s2YS�Y:s272�:tk�kYA.2�:Q�oo-dSA`ARi�91R6?p3R...... 4XRX0'.0`.x.Q??�7A��..7'�ca�fdlwac�:6�ddo;a"i.'sUW`Y.v.'fi�7�2;C':�??:c <br />Liability Insurance Additional Insured- Scheduled Person Ororganization continued <br />Form 80-02.2367 (Rev 5-07) Endorsement Page i <br />