Laserfiche WebLink
POLICY NUMBER: AS2661066787016 <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 />Business Auto Physical Damage Coverage Form <br />With respect to coverage provided by this endorsement, the provisions of the Coverage <br />Form apply unless modified by the endorsement. <br />This endorsement identifies person(s) or organization(s) who are "insureds" under the <br />Who Is An Insured Provision of the Coverage Form. This endorsement does not alter <br />coverage provided in the Coverage Form. <br />This endorsement changes the policy effective on the inception date of the policy unless <br />another date is indicated below: <br />SCHEDULE <br />Name of Person(s) or Organ ization(s): <br />CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND <br />REPRESENTATIVES <br />(If no entry appears above, information required to complete this endorsement will be <br />shown in the Declarations as applicable to the endorsement.) <br />Each person or organization shown in the Schedule is an "insured" for Liability <br />Coverage, but only to the extent that person or organization qualifies as an "insured" <br />under the Who Is An Insured Provision contained in Section 11 of the Coverage Form. <br />CA 20 48 02/99 Copyright, Insurance Services Office, Inc. 1998 <br />Attachment Code: D489746 <br />Certificate TD: 14241328 <br />10 0 <br />