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POLICY NUMBER: 9016877003 COMMERCIAL AUTO <br /> CA 76 01 06 15 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> DESIGNATED INSURED - PRIMARY AND <br /> NONCONTRIBUTORY - COVERED AUTOS <br /> LIABILITY COVERAGE <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 <br /> modified by this endorsement. <br /> This endorsement identifies person(s)or organization(s)who are "insureds" for Covered Autos Liability Coverage <br /> under the Who Is An Insured provision of the Coverage Form. <br /> This endorsement changes the policy effective on the inception date of the policy unless another date is <br /> indicated. <br /> Named Insured: <br /> Endorsement Effective Date: 07/01/2025 <br /> SCHEDULE <br /> Name Of Person(s) Or Organization(s): <br /> As required by written contract. <br /> Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br /> A. Each person or organization shown in the B. Primary And Noncontributory Insurance <br /> Schedule is an "insured" for Covered Autos This insurance is primary to and will not seek <br /> Liability Coverage, but only to the extent that contribution from any other auto insurance issued <br /> person or organization qualifies as an "insured" to the person or organization in the schedule <br /> under the Who Is An Insured provision contained under your policy provided that: <br /> in: <br /> (1) Paragraph A.1. of Section II - Covered Autos (1) The person or organization is a Named Insured <br /> Liability Coverage in the Business Auto and under such other insurance; and <br /> Motor Carrier Coverage Forms; or (2) Prior to the "accident" you have agreed in <br /> (2) Paragraph D.2. of Section I - Covered Autos writing in a contract or agreement that this <br /> Coverages of the Auto Dealers Coverage insurance would be primary and would not <br /> seek contribution from any other insurance <br /> Form. available to the person or organization. <br /> CA 76 01 06 15 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 <br /> 9016877 with Its permission. 06/23/2023 <br /> Sentry Insurance Company <br /> 1 00001 0000000000 23174 0 N f91b8d47-ea114522-995e-3e045032ab3f <br />