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POLICY NUMBER: COMMERCIAL AUTO <br /> 16-02-0316 Ed. 10 14 <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />16-02-0316 Ed. 10 14 Page 1 of 1 <br /> <br />PRIMARY AND NON-CONTRIBUTORY LIABILITY <br />INSURANCE <br /> <br />This endorsement modifies insurance provided under the following: <br /> <br />BUSINESS AUTO COVERAGE FORM <br /> <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless <br />modified by the endorsement. <br />This endorsement changes the policy effective on the inception date of the policy unless another date is indicated <br />below. <br /> <br />Named Insured: <br />Endorsement Effective Date: <br /> <br />SCHEDULE <br /> <br />Name(s) Of Person(s) Or Organization(s): <br /> <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br /> <br />The following is added to Item 5. – “Other <br />Insurance” of Item B. – “General Conditions” under <br />Section IV – “Business Auto Conditions”: <br />e. Regardless of the provisions of Paragraph 5.a. <br />through d. above, for any liability arising out of the <br />ownership, maintenance, use, rental, lease, loan, hire <br />or borrowing by an ”insured” of a covered “auto” for <br />which an “insured” is contractually obligated to <br />provide primary insurance coverage to a client, this <br />Coverage Form will be primary and non-contributory <br />with respect to the Persons or Organizations in the <br />schedule, regardless of the availability or existence of <br />other collectible insurance under any other Coverage <br />Form or policy that applies on a primary basis. <br />Where required by written contract <br />54309837 <br />Docusign Envelope ID: 3254F026-A447-4BC0-939B-3E5589DD3A37