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PQliQYt",WrV1b0": AS2-681-004145-724 <br />Issued By, Libert,.y MuLual Fire Insurance, Co, <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endur5emef)t modffias Insurance provided under the folIowinq: <br />BUSINESS AUTO COVERAG E PART <br />mcj-r'OR,CARrUER COVERAG E PART <br />0- ARAGE COVE RAGE: PART <br />TRUCKERS G()VERAGE PAIN <br />EXCESS AUTOMOS IE LIABILITY INVEMNI"I"Y GOVERfkGE PART <br />SELF -JN; lRED TRUCKER EXCESS LIASiLl I'Y COVERAGE PAPT <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />PRODUICTSfDOMPLETED CAPE kAIFIONS LIABILITY COVERAGE PART <br />LIQUOR LIABILILF'y COVERAGE PART <br />Schedule <br />Name of 6thor Person(s)[ Email Address r madirig Number <br />Organ izatio n(s): address: Days <br />.� ckiedu`e on file witill 30 <br />the company <br />A. If m.�e carcrral this polk-y for any reason other than noripayment of prep -flum, we will notify the persons or, <br />organizations Phown in the SCirJeLdU8 above. We will send notk;e to the email or maWng address fisted <br />8b0ve at leasl '10 drays, or the riumber of days listed above, if any, Wore the r-anc0lation become$; <br />effe Ave, sn no ev nl r1ops the riotka e to the third party exceed zhe noike Lo the fks named insured, <br />B. ly. OurfaHi.)re <br />to pmvidr-.,, such .-id vancc notification �&qji not r,tkand the policy cancellation dpte nor negate cmcekikn of <br />the policy, <br />All olhor torrns and cored lions of this policy rewrWn unchantged. <br />WA 99 01 05 11 (0 20,11, 1-113erly mu(mnl Group of Cornp,,ml-m All righto reserved. Page I Of I <br />Inrlude's cnp rigi-qod mmerial of trisul'ance Services 011,10e, InQ <br />Joy- with its permission. <br />d <br />141 <br />