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r- <br /> 1 <br /> ADDITIONAL INSURED— <br /> DESIGNATED PERSONS OR ORGANIZATIONS <br /> ftarrwd 1--ad Republic Services,Inc- F.na�.'semerr r:,-�cr <br /> 121 <br /> rl"d y Sym +SM Pwcd Effactivo Dato of Erq ar..c rnant <br /> ISA I H09ON73A 0613012017 ro 013130+'2018 <br /> raxrad By(Name of rnwrance Company) <br /> ACE.American Insurance Company <br /> Ywh IM ffn4c]"^'.aniw �M ref'Mf[:ef`v!Bee rdn..a`on.a n br c[+sN4S]unl7 rl.r�tl'.!a�JG�E'rrnl a wind e�Laoy.wani=�Ciq�r�pprPdcn or VId Policy <br /> THIS EN 130RSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. <br /> This endorsement modif©s insurance provided under the Fallowing: <br /> BUSINESS AUTO COVERAGE FORM <br /> AUTO DEALERS COVERAGE FORM <br /> MOTOR CARRIER COVERAGE FORM <br /> EXCESS BUSINESS AUTO COVERAGE FORM <br /> Additional Insured(s) Any ner nor nmjn,7ht,nn xtilcom yno fizur �yrracvi In incl%W: es an additional insured <br /> urt er written contract provided such contract was mrefxfted prior to the date of 1855. <br /> A, For a rovered'auln,'Who Is Insured is amended to include as an'insured,'the persons or organisations <br /> named in this endorsement. however.these persons of organizations are an'insured'only for'bodity <br /> injury'or"property darnaye'resultng frorn acts or omissions of. <br /> 1. You. <br /> 2. Any of your'ernployees°or agents. <br /> 3. Any person operating a covered'auto"w1h permission from you,any of your"employees'x agents. <br /> B. Tire piNbunsf ur organizations named In this endorsement are not liable for payment of your premium. <br /> C* <br /> Authoozed Represeniallve <br /> Pasau t all <br /> Page 22 o f 33 <br /> 9234[x37.2 <br /> Attachment number 2\n <br /> G-8 Page 193 <br />