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• <br /> • <br /> Poiicy Number AS2-641-444950-048 <br /> Issued by:Liberty Mutual Fire Insurance Co. <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> DESIGNATED INSURED-NONCONTRIBUTING <br /> This endorsement rnodiles Insurance provided.under the folk-Ruing, <br /> BUSINESS AUTO COVERAGE FORM <br /> GARAGE COVERAGE FORM <br /> MOTOR CARRIERS COVERAGE FORM <br /> TRUCKERS COVERAGE FORM <br /> With respect to coverage provided by this endorsorrent, the, previsions of the Coverage Form apply unless <br /> modified by this endarsernent <br /> This endorsement identifies person(s) or orgenuation(s) who are "insureds" under the Who Is An Insured <br /> Provision of the Coverage Form,This endorsement does not atter coverage provided in the Coverage form- <br /> Schedule <br /> Name of Person(s)or Organizattons(s): <br /> Any person or organization where the Named insured has agreed by written <br /> contract to include such person or organization <br /> Regarding Designated Contract or Project: <br /> Any <br /> Each person or organization shown In the Schedule of this endorsement is an—msursd"for Liability Coverage,but <br /> only to the extant that person or organization qualifies as an Insured"under the Who Is An Insured Provision <br /> contained in Section II of the Coverage Form <br /> The following Is added to the Other Insurance Condition: <br /> If you have agreed,n a written agreement that this policy will be prlmury and without right of contribution <br /> from any insurance in force for an Additional Insured For liability arising out of your operations,and the <br /> agreement was executed prior to the`bodily Injury'or"property damage",then this insurance will be <br /> primary and we wilt not seek contribution from such Insurance. <br /> • <br /> AC 84 23 08 11 02010,Liberty Mutual Group of Companies, All rights reserved. Page 1 of 1 <br /> Includes copyrighted material of Insurance Services Office,inc„ <br /> wit,its permission. <br />