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)GC 414 1013 <br />POLICY NUMBER: RAD943781804 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />AUTO DEALERS COVERAGE FORM <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by <br />the endorsement. <br />Schedule <br />Additional Insureds <br />Work <br />Any person or organization you have agreed to <br />All Operations <br />include as an additional insured under written contract, provided <br />such contract was executed prior to the date of loss. <br />COVERED AUTOS LIABILITY COVERAGE, Who Is An Insured, is amended to include as an "insured" the person or <br />organization listed in the Schedule above, but only with respect to liability for "bodily injury" or "property damage" <br />otherwise covered under this policy caused, in whole or in part, by the negligent acts or omissions of <br />You, while using a covered "auto; or <br />2. Any other person, except the additional insured or any employee or agent of the additional insured, operating <br />a covered "auto" with your permission; <br />in the performance of your work as described in the Schedule above. <br />In no event shall any person or organization listed in the Schedule become an "insured" pursuant to this Endorsement <br />if such person or organization is solely negligent. <br />IT IS FURTHER AGREED THAT IN NO EVENT SHALL ANY CONTRACT OR AGREEMENT ALTER THE <br />CONDITIONS, COVERAGES OR E)CLUSIONS SET FORTH IN THIS POLICY. <br />All other terms and conditions of this policy remain unchanged. <br />MC 414 1013 ® 2013 XL. America, Inc. All Rights Reserved. <br />May not be copied without permission. <br />Includes copyrighted material of Insurance Services Office, Inc., with its permis <br />��oRaN <br />} r <br />wAnmaganatDMsiun <br />REVIEWED & APPROVED BY.- <br />p L" R. Vj&wd <br />Risk Management Analyst <br />