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APR. 13. 2411 3:16PIli 1�I10�IGE46;I �4WUnAPICE <br />A, SC;OTTSDALE INSURANCE COMPANY" <br />NO. 56017 ';. 1 <br />ENDORSEMENT <br />N0. 6 <br />AITACMEDTDAND <br />FORUM A PART OF <br />ENNIMINNTEFFERNEDATE <br />NAARO INGURlD <br />•CENT No. <br />(Q41 AH 9TANOAxD TMrcl <br />M1497090 <br />04/13/2011 <br />AESC0 1$C'E11MRAGM, INC. <br />04057 <br />*THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - -OWNERS, LESSEES OR <br />CONTRACTORS SPECIAL CONDITION <br />If any of the endorsements below are attached to this policy, coverage provided by the additional Insum d <br />endorsement Is amended to be afforded on a primary, noncontributory or primary and noncontributory <br />basis when and as agreed to In writing In a contract or agreement between you and the additional <br />insured, <br />Additional Insured — Owners, Lessees Or Contractors — Scheduled Person Or Organization <br />(cG 20 10) <br />Additional Insured - -State Or Political Subdivisions -- Permits (CO 20 12) <br />Additional Insured — Owners, Lessees Or Contractors -- Automatic Status When Requlrsd In Con- <br />struction Agreement Wrth You (CG 20 33) <br />Additional Inured— Owners, Lessees Or Contractors -- Completed Operations (CG 20 37) <br />Otnri: (Specify tide and form number) <br />REPRESENTATIVE <br />GLS -2956 t7-K Pe3e 1 of t <br />�j�l3�ll <br />we <br />