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SUPP (05/04) <br />SUPPLEMENT TO CERTIFICATE OF INSURANCE DATE <br />NAME OF INSURED: <br />Additional Description of Operations/Remarks from Page 1: <br />Additional Information: <br />Automobile Liability: <br />Additional Insured, Primary & Non-Contributory, Waiver of Subrogation per <br />Per Project Aggregate per attached form EN0301-0914 <br />Additional Insured per attached form EN0111-0211 and EN0320-0211. <br />Waiver of Subrogation per attached form EN0109-0211. <br />Worker's Compensation: <br />Primary and Non-Contributory Wording per attached form EN0118-0211. <br />Waiver of Subrogation per attached form 10217. <br />Underlying Schedule per attached form EN1520714 and EN01570415 <br />General Liability: <br />Umbrella Liability: <br />Includes: <br />Underlying Insurance wording per attached form EN00280714. <br />Brannon Corporation <br />12/09/2024 <br />attached form AC85430618. <br />Docusign Envelope ID: A868345E-0DA9-4A08-8C65-AB1D9D0A7B80