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218201400004500109 <br />Policy Number. AS2-681--004145-726 <br />Issued By: Liberty Mutual Fire insurance co, <br />This endorsement modifies insurance provided under the following: <br />BUSINESS MTO COVERAGE PART <br />MOTOR CARRIER COVERAGE PART <br />GARAGE COVERAGE PART <br />TRUCKERS COVERAGE PART <br />EXCESS AUTOMOBILE LMILITY INDEMNITY COVERAGE PART <br />SELF -INSURED TRUCKER, EXCESS LIABILITY COVERAGE PART <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />OR+ P, <br />,#_'f G En4vvl'._-� <br />LIQUOR LIABILITY COVERAGE PART <br />Schedule <br />Name of Other Person(s)L. <br />Organization (s): <br />Per schedule =.file- with the <br />company <br />Email Addres�.;- <br />Per schedule on file with the <br />A. if we cancel this policy for any reason other than nonpayment of premium, we will no* the persons or <br />organizations shown in the Schedule above by email as soon as practical after notifying the first Named <br />Insured, <br />B. This advance email notirication of a pending cancellation of coverage is intended as a courtesy only. Our <br />failure to provide such advance notification will not extend the policy cancellation date nor negate <br />cancellation of the policy, <br />All other terms and conditions of this policy remain unchanged. <br />LIM 99 02 08 11 0 2011. Liberty Mutual Group of Companies. All rights reserved. Page 1 of 1 <br />Includes copyrighted material of Insurance Services Office, Inc. <br />with Its permission. <br />fF IEWED BY, EUNICE HEREDIA (PG <br />_y __Z__ g ......... . ­111 ...... . ....... . <br />