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POLICY NUMBER: AECO062630 XIC 414 1013 <br /> AECO062631 <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 <br /> by the endorsement. <br /> Schedule <br /> Additional Insureds Work <br /> ANY PERSON OR ORGANIZATION WITH WHOM AS PER WRITTEN CONTRACT <br /> YOU HAVE AGREED TO PROVIDE ADDITIONAL <br /> INSURED COVERAGE ON A PRIMARY AND <br /> NONCONTRIBUTORY BASIS WHERE REQUIRED <br /> WITHIN A WRITTEN CONTRACT OR <br /> AGREEMENT, EXECUTED PRIOR TO LOSS <br /> COVERED AUTOS LIABILITY COVERAGE,Who Is An Insured, is amended to include as an "insured"the person <br /> or 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 /> 1. 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, <br /> operating 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 <br /> Endorsement 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 EXCLUSIONS SET FORTH IN THIS POLICY. <br /> All other terms and conditions of this policy remain unchanged. <br /> XIC 414 1013 ©2013 X.L. America, Inc. All Rights Reserved. Page 1 of 1 <br /> May not be copied without permission. <br /> Includes copyrighted material of Insurance Services Office, Inc.,with its permission. <br /> 88631955 UNITPUM-01 125-26 All Lines I Nancy Cadwallader 112/30/2025 2:11:54 PM (PST) I Page 2 of 8 <br />