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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />DESIGNATED INSURED <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />GARAGE COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />TRUCKERS COVERAGE FORM <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi-fied <br />by this endorsement. <br />This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision <br />of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. <br />SCHEDULE <br />Name of Person(s) or Organization(s): <br />ANY PERSON OR ORGANIZATION WHERE THE NAMED INSURED HAS AGREED BY WRITTEN <br />CONTRACT TO INCLUDE SUCH PERSON OR ORGANIZATION AS A DESIGNATED INSURED. <br />Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that <br />person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in SECTION II of <br />the Coverage Form. <br />APPROVED AS TO FORM <br />Laur SLPt3Z, heed This endorsement is executed by the Wausau underwriters insurance company Assistant City Attorney <br />Premium Q <br />Effective Date 08/01/2010 Expiration Date 08/01/2011 <br />For attachment to Policy No. ASJZ91455034010 <br />Audit Basis <br />Issued To Harris & Associates Inc. <br />SIXcRi:TARY PRESIDFNT <br />Countersigned by Authorized Representative <br />CA 20480299 Copyright, Insurance Services Office, Inc., 1996