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POLICY NUMBER: TC2J-CAP_:744OL34A-TIL-19 <br />COMMERCIAL AUTO <br />ISSUE DATE: 08-23-;19 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ .l1T:CAREFULLY. <br />DESIGNATED INSURED FOR <br />COVERED AUTOS LIABILITY "COVERAGE <br />Thsendorsomeht modifies insurahce.ordyided under the-folloWing" <br />AUTO DEALERS COVERAGE FORM <br />BUSINESS AUTO COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />With respect to coverage provided by this endorsement, the Provisions of the Coverage Form apply unless rhodi- <br />,fed by thlsend61rWrieht, <br />This endorseme6fidenfifies person(s) orrorganization(s) who are "insureds�'for Covered Autos Liab r,,-,Iy Coverage <br />under the Who Is An Insured provision of the Coverage Form. This;endorsement does not afterc&eragle pro- <br />vided in the Coverage Form. <br />SCHEDULE <br />Name Of Person(s) Or QrOanlzatlon(s): <br />ANY PERSON OR ORGANIZATION "ON YOU .HAVE <br />AGREED, TO ADD AS ADDITIONAL INSURED, BUT <br />ONLY To COVERAGE AND MINIMUM LIMITS <br />REQUIRED IN A 44RITtEk WIMZAdT <br />Jinformation required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />Each person or organization shown in the Schedule is <br />an "Insured" for Covered Autos Liability Coverage,, but <br />only to the extentthat person or organization qualifies <br />as an "insured" under the Who Is. An linsUred provi- <br />Sion cohtalned.ln Paragraph A.I. of Section 11 - Qov- <br />ered Autos Liability Coverage in the Business Auto <br />and Motor Carrier Coverage Forms and Paragraph <br />D.2. of Section I - Covered -Autos Coverages of the <br />Auto. Dealers.Covera& Fort. <br />CA 20 48 110 13 0 insurance Services Office, Inc., 2011 Page 1 of 1 <br />