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THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY.
<br />F'Ul.lr! NUMBf. R.Fn SS I � i2 9'i
<br />FARMERS
<br />INSURANCE
<br />ADDITIONAL INSURED - SCHEDULED PERSON OR
<br />ORGANIZATION
<br />Ilus endorser non t mudifies insura,Ita pr owJed uurh•r Ibe Inlinvdng
<br />NUS INLSSOWNERS LIABILI I COVLRAGt I ORM
<br />BUS INESSOWN IRS COMMON POLCY D:)N if110 IS
<br />j6840
<br />2nd Edition
<br />Witli respect to,.overaye Prltynded by Btisen•Jnrsemant rile in
<br />Fa.rvrcnns of file r_u a�rayu Por nl apply uect nuxkfiod to/ mr
<br />endolsement
<br />SCHEDULE
<br />Name Df Addltionallnsored Person(s) .=IT'f Of Sarllt AH4.Ilb OFFICEks
<br />Or OryanizaTlon(s): Eb,PL„,'EES •V,ENIb k VOLUN!H.ItS
<br />Locatlon Of Covered Operation(s): 12" p4ro, l
<br />!. Lkfel rt s5 .,J" ,I
<br />ENecINI Date Of End orsemenC t., [619 -'--
<br />rfnn,,try appears, Love udorntallun reynired ht nnt!'letc this eudur5emwn trill Le Shown iu the Declarations
<br />Inw BIISINESSU4VNLRS LIPaI LJ IY I.UVERIGI, "IMM's amonrkd is fA,ILtws
<br />A. With iesperl to Rreaxuriunal in,u ..Fibtetlw Fataytal.1Bof nds en•aorseniur.Ihefulluwiny �tdusiuns arenidtal
<br />t� t Paragraph 1. Applicable To Business Liability Coverage tinder Seehon e. Exclusions
<br />IIits insurance does not apply to
<br />1. ' Bodily rrr)uty' of "pluperey Udutaye" fur whu:n ttu_ adch[ianal mstu.. obhyated to tray Ln,I, es by ieav_r, of
<br />the assungxiou of liability in a ; on na't ur ayl eeulsu t. file exclusnun dots mA apPly 0IiaL ill y if , damages that the
<br />addi rinnal In5urEd 0 would I1:1vn In RIP absanr e,a the = nn r.arr :N agrera gryn
<br />2. "Budilylntuly''•it 'property damage' nc:un LigjLer
<br />a. your ongoing I., ari u+ at [I - lucauor of ad m r 'I.n.-t 0,411 seryiie nnnu tenar•ra ,u iehaits Pedunn'-d 6J rcat -n on ynm LAb ;..
<br />b. Ill, Portion Of your •,rnyoln i I`con", r•ol -
<br />O1' '� Ploperty-latnaz)e"<uises has ulLitsinlei,leduseb m er,nt ,n ur_: - jLien
<br />P V� yp /... ..
<br />Rtnlntl, everlsllall lhlsmsatraneakl.ly t'"L, a n, tlarnaye"ansinc •,n,fi uw r•
<br />welecenlpleted Prior to tiueeffe,. owd:,te"Ith ,. J - V-Peramns that
<br />3. Bodily injury. or (impel ly clal I aye, 1,-111q
<br />usat ni I - add itiunal Idne, Its I or any of it.,
<br />"our ongoing celati I1 Cuuforme s _ ri, (Ilan I t _xLd I r I • al -u � rv. urn b Ih-
<br />your ongoing eucra!!uns Performed rot ghat addmon.tl n,sure,i I w Tdrlinrnal lnsm e,.Rs)ol
<br />9. "Pr-pettydam.,ge"nr
<br />a. (11,txrtlowned USLdhtr ue,_ u'ledb �r ten", P V' Jn,tlt=n,hPnmar
<br />b. Properly in ill" care custody ur C"ou"I of 01F aU[nrt.C.11 im.m di or over Vhich the addihnnnl rrisuredis)
<br />exercise Physical a=utw[ ur
<br />c. Any vnxk including Inareuals. Parrs ur _11" prnenl tW n6rYFl Ili 1,,, 1 un arini such work oMith rs pertonnaJ frx the additional Insut�d by you
<br />,t,,J,ti-EU[d,.lr, REVIEYJ D& PMoO vD.,.-_.rr:e .
<br />Risk' ANSI' ,.,• Page I ur:
<br />BY r,a•r., „
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