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Policy Number TB7-Z91-458727-016 <br />Issued by LIBERTY fNSURANCE CORPORATION <br />Insured; DMS Facility Services, LLC, etal <br />THIS ENDORSEMENT GRANGES THE POLICY. PLEASE READ IT CAREFULLY, <br />OTHER INSURANCE AMENDMENT — 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. Any person or organization as specified in a written agreement which is signed in <br />advance of the occurrence or offense for which the additional insured seeks 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 of this endorsement that qualifies as an <br />additional insured on this policy, this policy will apply solely on the basis required by such written agreement and <br />Paragraph 4. Other Insurance of Section IV - Conditions will not apply. If the applicable written agreement does <br />not specify on what basis the liability insurance will apply, the provisions of Paragraph 4. Other Insurance of <br />Section IV - Conditions will govern. However, this insurance is excess over any other insurance available to the <br />additional insured for which it is also covered as an additional insured by attachment of an endorsement to another <br />policy providing coverage for the same "occurrence", claim or "suit". <br />e�re��d <br />.X,A\ p1p`d�r� <br />9IN <br />LC 24 20 02 13 C) 2013 Liberty Mutual Insurance. All rights reserved. Page 1 of 1 <br />Includes copyrighted material of Insurance Services Office, Inc., with Its permission. <br />