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Policy Number: AS7ZO1462442027 <br />Issued by: liberty Insurance Corporation <br />Effective 05411z61i <br />THIS ENDORSEMENT CHANGES TIME POLICY, PLEASE READ .IT CAREFULLY. <br />DESIGNATED INSURED - NONCONTRIBUTING <br />This endorsement modifies insurance provided under the following; <br />BUSINESS AUTO COVERAGE FORM <br />GARAGE COVERAGE FORM <br />MOTOR CARRIERS COVERGE FORM <br />TRUCKERS 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" under the Who Is An Insured <br />Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage form. <br />Schedule <br />Name of Person(s) or Organizations(s): <br />All persons or organizations with whom you have entered into a written contract or agreement prior to a loss <br />Regarding Designated Contract or Project: <br />Any contract or project as required by a written contract or agreement entered into prior to a loss. <br />Each person or organization shown in the Schedule of this endorsement is an "Insured" for liability Coverage, but <br />only to the extent that person or organization qualifies as an "Insured" under the Who Is An Insured Provision <br />contained In Section II of the Coverage Fora. <br />The following is added to the Other insurance Condition: <br />If you have agreed that this policy will be primary and without right of contribution from any insurance in <br />force for an Additional Insured for liability arising out of your operations and the agreement was executed <br />prior to the "bodily injury" or "property damage", then this insurance will be primary and we will not seek <br />contribution from such insurance. <br />AC 84 23 08 11 02014, liberty Mutual Group of Companies. All rights reserved. rage 1 of 1 <br />Includes copyrighted material of Insurance Services Office, Inc. with its <br />permission. <br />of C.6 W,415 01/f <br />(en- & �&) <br />