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Business Auto Policy Policy Schedule AMENDMENT OF FORMS AND ENDORSEMENTS SCHEDULE ADDITION OR DELETION OF ENDORSEMENTS It is understood and agreed as follows: I. ADDITION OF FORMS OR ENDORSEMENTS The Forms and Endorsements Schedule is amended to add the following forms or endorsements effective as of the date set forth in such form or endorsement. Endorsement Number Form or Endorsement Name Form Number Edition Date Effective Date Expiration Date 22 AMENDMENT OF FORMS AND ENDORSEMENTS SCHEDULE ADDITION OR DELETION OF ENDORSEMENTS CNA62673XX 06-2017 11/18/2024 11/10/2025 23 ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY CNA71527XX 10-2012 11/18/2024 11/10/2025 II.DELETION OF FORMS OR ENDORSEMENTS The Forms and Endorsements Schedule is amended to delete the following forms or endorsements effective as of the “deletion date” indicated below. The net premium change, if any, for the above endorsements in Sections I. and II. is:$0.00 Surcharge Taxes and Fees changes are: Total change is:$0.00 All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. BUA 7013446068 Endorsement No: 22; Page: 1 of 1 Underwriting Company: Valley Forge Insurance Company, 151 N Franklin St, Chicago, IL 60606 Form No: CNA62673XX (06-2017) Endorsement Effective Date: 11/18/2024 Policy No: Policy Effective Date: 11/10/2024Endorsement Expiration Date: © Copyright CNA All Rights Reserved. Docusign Envelope ID: F709D17A-8DCE-46EE-8D56-94BE21810E02