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Authorized Representative <br />MS-19249 (0213) Page 1 of 2 <br />Affiliate# 1064453 <br />WHO IS AN INSURED, and PRIMARY, NON CONTRIBUTORY INSURANCE – <br />SCHEDULED PERSON OR ORGANIZATION <br />Named Insured <br />Habitat For Humanity Purchasing Group, Inc. <br />Endorsement Number <br />175 <br />Policy Symbol Policy Number <br />G24962842 012 <br />Policy Period <br />4/1/2024 to 4/1/2025 <br />Effective Date of Endorsement <br />04/01/2025 <br />Issued By (Name of Insurance Company) <br />ACE American Insurance Company <br />Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br />EMPLOYEE BENEFITS LIABILITY COVERAGE FORM <br />STOP GAP-EMPLOYERS LIABILITY COVERAGE FORM <br />Who Is An Insured <br />Additional Insured- Scheduled Person or Organization <br />Persons or organizations shown in the schedule are “insureds” but they are “insureds” only if you are <br /> obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by this <br /> policy. <br /> However, the person or organization is an “insured” only: <br />If an then only to the extent the person or organization is described in the Schedule; <br />To the extent such contract or agreement requires the person or organization to be afforded <br />status as an “insured”; <br />for activities that did not occur, in whole or in part, before the execution of the contract or <br />agreement; and <br />with respect to damages, loss, cost or expense for injury or damage to which this insurance <br />applies <br />No person or organization is an “insured” under this provision: <br />that is more specifically identified under any other provision of the Who Is An Insured section <br />(regardless of any limitation applicable thereto). <br />With respect to any assumption of liability (of another person or organization) by them in a <br />contract or agreement. This limitation does not apply to the liability for damages, loss, cost or <br />expense for injury or damage, to which this insurance applies, that the person or organization <br />would have in the absence of such contract or agreement. <br />Docusign Envelope ID: 813DC707-E5B0-41F2-A51F-8A2E6CE38AEF