Laserfiche WebLink
POLICY NUMBER: 01-0041-351 <br /> DESIGNATED INSURED FOR <br /> COVERED AUTOS LIABILITY COVERAGE <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> This endorsement modifies insurance provided 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 <br /> unless modified by this endorsement. <br /> This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability <br /> Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not <br /> alter coverage 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 /> Named Insured: HUMAN OPTIONS INC <br /> Endorsement Effective Date: 09/23/2025 <br /> SCHEDULE <br /> Name Of Person(s) Or Organization(s): <br /> City Of Santa Ana, Its City Council, Officers, Agents, Employees, And Volunteers, Community <br /> Development Agency, 20 Civic Center Plaza, M-25, Santa Ana, Ca 92701 <br /> Information 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 an "insured" for Covered Autos Liability Coverage, <br /> but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured <br /> provision contained in Paragraph A.1. of Section II - Covered Autos Liability Coverage in the Business <br /> Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I - Covered Autos Coverages of <br /> the Auto Dealers Coverage Form. <br /> ©Insurance Services Office,Inc.,2011 CA 20 48 10 13 <br /> Page 1 of 1 <br />