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E <br /> POLICY NUMBER; 13AP2041776-11 COMMERCIALAUTO i <br /> CA 20 48 1013 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> DESIGNATED INSURED FOR <br /> COVERED AUTOS LIABILITY COVERAGE <br /> This endorsement modlfles insurance provided under the following: <br /> AUTO DEALERS COVERAGE FORM <br /> BUSINESS AUTO COVERAGE FORM <br /> MOTOR CARRIER COVERAGE FORM = <br /> T <br /> i <br /> With respect to coverage provided by thls endorsement, the provisions of the Coverage Form apply unless ! <br /> modified by this-endorsement, i <br /> This endorsement Identifles person(s)or organizatian(s)who are "Insureds"for Covered Autos Liability Coverage <br /> under the Who Is An Insured provislon of the Coverage Form, This endorsement does not alter coverage <br /> provided In the Coverage Form, <br /> This endorsement changes the policy effective on the inception date of the policy unless another date Is <br /> Indicated below; <br /> i <br /> Named Insured: <br /> Endorsement Effective Date: i <br /> k <br /> I <br /> SCHI=DULE <br /> Name Of Person(s)Or organlzation(s): <br /> Any person or organization to whom you become obligated to Include as an insured under(his policy,as a result of any MUM contract at <br /> written agreement you enter into,This Insurance Is excess over any other insurance naming the designated Insured as an insured whether primary, <br /> excess,contingent or on any outer basis unless this written contract orwritten agreement specikleally requires that this Insurance he either primary or <br /> primary and nonconiributing, F <br /> t <br /> { <br /> t <br /> I! <br /> t <br /> Information required to complete this Schedule,if not shown above,will be shown In the Declarations. ! <br /> r <br /> Each person or organization shown In the Schedule Is an"insured"far Covered Autos Liability Coverage,but only to <br /> the extent that person or organization qualifies as an"insured"under the Who Is An Insured provision contained <br /> In Paragraph A4.of Section 11-Covered Autos Liability Coverage In the Business Auto and Motor Carrier Coverage , <br /> Forms and Paragraph 0.2.of Section I-Covered Autos Coverages of the Auto Dealers Coverage Form. <br /> i <br /> Y <br /> I <br /> 1 <br /> r I <br /> i <br /> CA 20 48 10 13 0 Insurance Services Office,Inc,,2011 Page 1 of 4 <br />