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2022-643-E-AMS-WB Brawley Company-WCOB_3rd Floor Minor Upfit Components
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2022-643-E-AMS-WB Brawley Company-WCOB_3rd Floor Minor Upfit Components
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Last modified
12/23/2022 8:05:28 AM
Creation date
12/23/2022 8:04:54 AM
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Template:
Contract
Date
12/15/2022
Contract Starting Date
12/15/2022
Contract Ending Date
12/22/2022
Contract Document Type
Contract
Amount
$10,000.00
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED BY CONTRACT <br />This endorsement modifies insurance provided under the following: <br /> BUSINESS AUTO COVERAGE FORM <br />GARAGE COVERAGE FORM <br />This endorsement changes the policy effective on the inception date of the policy unless <br />another date is indicated below. <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Form <br />apply unless modified by the endorsement. <br /> <br />SECTION II – LIABILITY COVERAGE, A. Coverage, I. Who is an Insured is amended to <br />include as an insured any person or organization with which you have agreed in a valid <br />written contract to provide insurance as is afforded by this policy. <br />This provision is limited to the scope of the valid written contract. <br />This provision does not apply unless the valid written contract has been executed prior to the <br />“bodily injury” or “property damage”. <br />AA 4171 11 05 <br />WB Brawley Company <br />EPP0517147 <br />DocuSign Envelope ID: 270168C8-F741-48EF-B67D-C3C5DCCB71CE
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