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ME XWjT4 r;rd fa <br />COMMERCIAL AUTO <br />CA 20 48 10 13 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />A01TV4 ON 21 11VAN 101-42 0 M. <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 unless <br />modified by this endorsement. <br />This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage <br />under the Who Is An Insured provision 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 indicated <br />below. <br />Named Insured: Johnson -Frank & Associates, Inc. <br />Endorsement Effective Date: 12/1/2014 <br />SCHEDULE <br />Name Of Person(s) Or Organization (s): <br />City of Santa Ana, its officers and employees <br />Information required to com2Bete 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 extent that person or organization qualifies <br />as an "insured" under the Who is An Insured <br />provision contained in Paragraph AA. of Section 11 — <br />Covered Autos Liability Coverage in the Business <br />Auto and Motor Carrier Coverage Forms and <br />Paragraph D.2. of Section I — Covered Autos <br />Coverages of the Auto Dealers Coverage Form. <br />JOHNSON-FRANK &ASSOCIATES, I t C:AGREEMENIT#A-2011-098 <br />REVIEWED By-, <br />" fi _ , -.1-11-, 1 EUNICE HEREDIA (PG. 3 of) <br />CA 20 48 10 13 <br />@ Insurance Services Office, Inc , 2011 <br />CCRT NO. . 22.49212U "Veresi Frank 11/25/2014 11:59:50 AM (PST) Page 3 of 5 <br />Page 1 of I <br />