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Business Auto Policy <br />Policy Endorsement <br />ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY <br />It is understood and agreed that this endorsement amends the BUSINESS AUTO COVERAGE FORM as follows: <br />SCHEDULE <br />Name of Additional Insured Person Or Organization <br />ANY PERSON OR ORGANIZATION THAT YOU ARE REQUIRED BY WRITTEN CONTRACT OR WRITTEN <br />AGREEMENT TO NAME AS AN ADDITIONAL INSURED <br />1.In conformance with paragraph A.1.c. of Who Is An Insured of Section II - LIABILITY COVERAGE, the <br />person or organization scheduled above is an insured under this policy. <br />2.The insurance afforded to the additional insured under this policy will apply on a primary and <br />non-contributory basis if you have committed it to be so in a written contract or written agreement <br />executed prior to the date of the “accident” for which the additional insured seeks coverage under this <br />policy. <br />All other terms and conditions of the policy remain unchanged <br />This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, <br />takes effect on the Policy Effective date of said policy at the hour stated in said policy, unless another effective <br />date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy. <br /> <br />Endorsement No: 20; Page: 1 of 1 Policy Page: 56 of 64 <br />Underwriting Company: Valley Forge Insurance Company, 151 N Franklin St, Chicago, IL 60606 <br />Form No: CNA71527XX (10-2012) <br />Endorsement Effective Date: Endorsement Expiration Date: <br />© Copyright CNA All Rights Reserved. <br />Policy No:BUA 7018235087 <br />Policy Effective Date:03/01/2023 <br />DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C