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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />DESIGNATED ADDITIONAL INSURED <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL AUTOMOBILE COVERAGE PART <br />SCHEDULE <br />Name of Additional Insured Person(s) or Organization(s): <br />Any person or organization as required by written contract or agreement that <br />is executed prior to the loss. <br />CHANGE <br />The person(s) or organization(s) shown in the Schedule above with whom you have agreed in a written contract <br />to provide insurance such as is afforded under this Coverage Form, is included as an Additional Insured subject <br />to the below: <br />(1)Insurance for such Additional Insured(s) scheduled above shall be afforded only to the extent that such <br />Additional Insured is liable for “bodily injury” or “property damage” arising out of your operations and <br />resulting from the ownership, maintenance or use of covered “autos” by you while the covered “autos” are <br />on premises owned or leased by the above scheduled Additional Insured(s). <br />(2)The insurance afforded under this Coverage Form to such Additional Insured(s) applies only: <br />(a)If the “accident” takes place subsequent to the execution and effective date of such written contract: <br />and, <br />(b)While such written contract is in force, or until the end of the policy period, which ever occurs first. <br />(3)How Limits Apply to Additional Insured(s) <br />The most we will pay on behalf of the Additional Insured(s) scheduled above is the lesser of: <br />(a)The limits of insurance specified in the written contract or written agreement; or, <br />(b)The Limits of Insurance provided by the Coverage Form. <br />CzDzouijbNpsbbu21;58bn-Pdu42-3135 <br />SNCA 026 10 13Safety National Casualty CorporationPage 1 of 2 <br /> <br />