2025-107-E-AMS-CPL Architecture-Additional Services for the site development

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CNA II LESSOR -ADDITIONAL INSURED AND LOSS PA YEE Business Auto Policy Policy Endorsement THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: CPL ARCHITECTS, ENGINEERS, LANDSCAPE ARCHITECT AND SURVEYOR D.P.C. Endorsement Effective Date: 04/22/2024 SCHEDULE Insurance Company: Valley Forge Insurance Company Policy Number: 7037093448 I Effective Date: 04/22/2024 Expiration Date: 04/22/2025 Named Insured: CPL ARCHITECTS, ENGINEERS, LANDSCAPE ARCHITECT AND SURVEYOR D.P.C. Address: 255 WOODCLIFF DR FAIRPORT, NY 14450-4219 Additional Insured (Lessor): Address: Designation Or Description Of "Leased Autos": Coverages Limit Of Insurance Liability $1,000,000 Each"Accident" Comprehensive Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus $1,000 Deductible For Each Covered "Leased Auto" Collision Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus $1 ,000 Deductible For Each Covered "Leased Auto" Specified Causes Of Loss Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus Deductible For Each Covered "Leased Auto" Form No: CA 20 01 10 13 Endorsement Effective Date: Endorsement Expiration Date: Policy No: BUA 7037093448 Policy Effective Date: 04/22/2024 Endorsement Page: 1 of 2 Underwriting Company: Continental Insurance Company © Copyright Insurance Services Office, Inc., 2011 Docusign Envelope ID: 13ED7AB3-8E40-45CC-B7A6-9154B7779BF8