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POLICYNUMBER: BAP 8044405 17 <br />COMMERCIAL AUTO <br />CA 20 48 02 99 <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 />Wlth respect to coverage provided by this endorserneni, the provisions of the Coverage Form apply unless modified by <br />this endorsement. <br />This endorsement Identifies person(s) or organization(s) who are Insureds" under the 4Vho Is An Insured Provision of <br />the Coverage Form. This endorsement does not alter coverage provided in the Coverage Forst. <br />This ondorsenent changes the policy effective on the inamption data of the policy unless another date is Indicated <br />below. <br />Endorsement Effectiw ; Counters" By: <br />Named Insured; <br />LAgthorized Repnmarvlative <br />SCHEDULE <br />Name of Person(s) or Organizaborn(s): <br />ANY PERSON OR ORGANIZATION WITH WHOM YOU HAVE AGREED, THROUGH WIIZITTE!7 <br />'"ONTRACT, AGREEMENT OR PERMIT, EXECUTED PRIOR TO ANY LOSS. <br />f if no entry appears above, information required to complete this endorsement will be shown in the Declarations as <br />applicable to lire andorsereent.) <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" vnder the Who Is An Insured Provision contained in Section 0 of the <br />Coverage Form. <br />CA 20 48 02 99 Copyright, 1-murance Services Office, Inc., 1948 Page 1 of 1 ? <br />em* coo,.