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Miscellaneous Attachment: M503359 Certificate ID: 15567934 <br />CA CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 <br />POLICY NUMBER: BAP 9830390 <br />COMMERCIAL AUTO <br />CA20481013 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT <br />CAREFULLY. <br />• •RAW:m-A <br />This endorsement modifies insurance provided under the following: <br />AUTO DEALERS COVERAGE FORM <br />BUSINESS AUTO COVERAGE FORM <br />MOTOR CARRIER COVERAGE <br />FORM <br />With respect to coverage provided by this endorsement, the provisions of the Coverage <br />Form apply unless modified by this endorsement. <br />This endorsement Identifies person(s) or organlzatlon(s) who are "insureds" for Covered <br />Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This <br />endorsement does not alter 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 />Named Insured: See attached Certificate <br />Endorsement Effective Date: 12/1/2017 <br />SCHEDULE <br />Name of Persons) or Organization(s): Any person or organization to whom or which you are <br />required to provide additional insured status in a written contract or written agreement executed <br />prior to the loss, except where such contract or agreement is prohibited by law. <br />Information required to complete this Schedule, if not shown above, will be shown in the <br />Declarations. <br />Each person or organization shown in <br />the Schedule is an 'Insured" for <br />Covered Autos Liability Coverage, but <br />only to the extent that person or <br />organization qualifies as an "insured" <br />under the Who Is An Insured provision <br />contained in Paragraph A.I. of Section <br />11 - Covered Autos Liability Coverage in <br />the Business Auto and Motor Carrier <br />Coverage Forms and Paragraph D.2. of <br />REVIEWED BY� EUNICE HEREDIA (PG <br />