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OLD REPUBLIC GENERAL INSURANCE CORPORATION <br />CHANGES ADDITIONAL INSURED PRIMARY WORDING SCHEDULE <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 />Name of Additional Insured Person(s) Location(s) of Covered Operations <br />Or Organization(s): <br />Where required by written contract. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />The insurance provided by this endorsement is primary insurance and we will not seek contribution from <br />any other insurance of a like kind available to the person or organization shown in the schedule above <br />unless the other insurance is provided by a contractor other than the person or organization shown in the <br />schedule above for the same operation and job location. If so, we will share with that other insurance by <br />the method described in paragraph 4.c. of Section IV — Commercial General Liability Conditions. <br />All other terms and conditions remain unchanged. <br />Named Insured <br />o ' GRADY PAVING, INC. <br />Policy Number <br />AICG44181801 <br />Endorsement No. <br />000 <br />Policy Period <br />07/01/2019 to 07/01/2020 <br />Endorsement Effective Date: <br />07/01/2019 <br />Producer's Name: <br />OLD REPUBLIC CONTRACTORS INSURANCE AGENCY, INC. <br />Producer Number: <br />7000 <br />07/01/2019 <br />AUTHORIZED REPRESENTATIVE DATE <br />I <br />CG EN GN 0029 09 06 <br />55999979 1 OGHAPAV-Cl ; 19-20 WC, Auto, GL, XS I Bolton Certificate Processing 1 5/15/2020 SA7:28 PM (POT) j Page 7 of 9 <br />