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ENDORSEMENT <br />Named Insured: Fomess Construction Inc. Policy Number: EVP-1001077-00 <br />Endorsement Effective Date: 05/03/2018 Endorsement Number: 003 <br />(12:01 AM Standard Time at the address of the <br />Named Insured as shown in the Declarations) <br />AUTOMATIC PRIMARY AND NON-CONTRIBUTORY INSURANCE <br />ENDORSEMENT - <br />DESIGNATED WORK OR PROJECT(S) <br />This Endorsement changes the Policy. Please read it carefully. <br />It is agreed that: <br />SCHEDULE <br />Name of Person or Organization: <br />Any person(s) or organization(s) whom the named insured agrees, in a written contract, <br />to provide Primary and/or Non-contributory status of this insurance. However, this status <br />exists only for the project specified in that contract. <br />In consideration of an additional premium of $ inc , and notwithstanding anything <br />contained in this Policy to the contrary, it is hereby agreed that this Policy shall be considered <br />primary to any similar insurance held by third parties in respect to work performed by you under <br />any written contractual agreement with such third party. It is further agreed that any other <br />insurance which the person(s) or organization(s) named in the schedule may have is excess <br />and non-contributory to this insurance. <br />Date of Issuance:05/03/2018 <br />Western World Insurance Company <br />Page 1 of 1 Policy Form: <br />Endorsement Form: AWW ECC 0313 1013 <br />REVIEWED BY: EUNICE HEREDIA (PG OF <br />