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C H U B B° Liability Insurance <br />Endorsement <br />Policy Period <br />Effective Date <br />Policy Number <br />Insured <br />Name of Company <br />Date Issued <br />This Endorsement applies to the following forms: <br />[CLI_NWIgill:\ IIIff 611 <br />Who Is An Insured <br />DECEMBER 27. 2018 TO DECEMBER 27.2019 <br />OCl'OBER 3, 2019 <br />3589-25-15 WCE <br />NILA, INC. <br />I-EDERAL INSURANCE COMPANY <br />OCI OBER 8, 2019 <br />Under Who Is An Insured, the following provision is added <br />Additional Insured - Persons or organizations shown in the Schedule are insureds; but they are ins reds 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 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 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 contract or agreement. <br />REVIEWED & APPROVED <br />By RISIC MANAGEMFNT DIVISION <br />AR <br />5 2019 <br />Liability Insurance Additional Insured- Scheduled Person Or Organization FRANCINE R. VIL RrJmiilwed <br />Form 80-02-2367(Rev. 5-07) Endorsement Page r <br />51732735 1 18-19 GL/nL L urs I Lucy Faleo_a 1 lo/10/2019 7:42:25 M [PDT) I Page .I .-e 0 <br />