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IL <br />CHUMSLiability Insurance <br />` . Endorsement <br />Policy Period FEBRUARY 10, 2015 TO FEBRUARY 10, 2016 <br />Effective Date FEBRUARY 10, 2015 <br />Policy Number 3580.46-42 WCE <br />Insured DMA CLAIMS, INC <br />Name of Company FEDERAL INSURANCE COMPANY <br />Date Issued APRIL 14, 2015 <br />This Endorsement applies to the following forms: <br />GENERAL LIABILITY <br />�Yd#2p.A'4ridt3.Y.a�3SHrFz<:a::i0'Xc:A#GYtiffR`YAl`F`Y£YRY.#GXAwy<C.vc::l3ry5k4G R4R.Y:::)Y.:'RYR::}:W.::.'isu<ax#<.urySS:d<biti^SiNR:Rv,,%x0.:r.W. .::.u�wrouep;yv�YbrtY#3T.'FRtiRtl: Y?,X<WAS�'aYeRS?XRk':ca;l::.. <br />Under Who Is An Insured, the following provision is added. <br />Who Is An Insured <br />Additional Insured - <br />Persons or organizations shown in the Schedule are insureds; but they are insureds only if you are <br />Scheduled Person <br />obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by <br />Or Organization <br />this policy. <br />However, the person or organization is an insured 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 />• with respect to damages, loss, cost 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 identified under any other provision of the Who Is An Insured <br />section (regardless of any limitation applicable (hereto). <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 contract or agreement, <br />f^,tl'Y'�MIMIMSiKRGS?:'CSWk.A<rrR.:. Qe igrS.i6'.'^.vYR'4RN/..'=Y�11.:I'M2a%lrttlr."Fsar.:�'<L'.HS'4a:Ku��k£[9S`SX22i�: R6R C6skiFJY.3A"GR. n9.:F!wnv ^:?a`:'•.:,:n:.nx!:n>:#.:x� <br />Liability Insurance Additional Insured - scheduled Person Or Organization continued <br />Form 60-02-2367 (Rev. 5.07) Endorsement Page I <br />aI3-�m <br />