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ADDITIONAL INSURED — <br />DESIGNATED PERSONS OR ORGANIZATIONS <br />Named Insured Tyco International Management Company, LLC <br />Endorsement Number <br />2 <br />Policy Symbol <br />Policy Number <br />Policy Period <br />Effective Date of Endorsement <br />ISA <br />H0672264A <br />110/0112013 To 10101/2014 <br />Issued By (Name of Insurance Company) <br />ACE American Insurance Company <br />The above Is required to be completed anly when One and orsernent Is Issued subsequent to the preparation of Me pollay. <br />THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. <br />This endorsement modifies Insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />TRUCKERS COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />GARAGE COVERAGE FORM <br />EXCESS BUSINESS AUTO COVERAGE FORM <br />EXCESS TRUCKERS COVERAGE FORM <br />Additional Insured(s): Any person or organization whom you have agreed to include as an additional Insured under a <br />written contract, provided such contract was executed prior to the date of loss. <br />A. For a covered "auto," Who Is Insured Is amended to include as an "Insured," the persons or organizations named In <br />this endorsement. However, these persons or organizations are an 'Insured" only for "bodily Injury" or "property <br />damage" resulting from acts or omissions of: <br />1. You. <br />2. Any of your "employees" or agents. <br />3. Any person operating a covered "auto" with permission from you, any of your "employees" or agents. <br />B. The persons or organizations named in this endorsement are not liable for payment of your premium. <br />AP ROVE➢? AS0 F'Oi„iva. <br />Laura A. Rossini <br />Assistant City Attorney <br />-tat a-A-, <br />Aut orized Represantetiva <br />DA•9U74a (04111) Page 1 of 1 <br />