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POLICY NUMBER: BA68191_639 COMMERCIAL AUTO <br />Johnson -Frank & Associates, Inc. ISSUE DATE: 12/2/2010 <br />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 <br />unless modified by this endorsement. <br />This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An <br />Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the <br />Coverage Form. <br />SCHEDULE <br />NAME OF PERSON(S) OR ORGANIZATION(S): <br />City of Santa Ana. Its Officers and Employees <br />(If no entry appears above, information required to complete this endorsement will be shown in the <br />Declarations as applicable to the endorsement.) <br />Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to <br />the extent that person or organization qualifies as an "insured" under the Who is An Insured <br />Provision contained in Section 11 of the Coverage Form. <br />CA 20 4e 02 99 Copynght. Insurance Services Office. Inc_, 1998 Page 1 of 1 <br />GERT NO. 0099")OB T<L¢sa Plank 13/"3/2C 10 l.11�50 PM Pag¢ i of S <br />