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POLICY NUMBER: A$7-661-099499-038 <br />COMMERCIAL. AUTO <br />CA 20 48 10 13 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <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 the 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 />SCHEDULE <br />person or organization whom you have agreed In writing to add as an additional Insured, but only to <br />arage and minimum limits of insurance required by the written agreement, and in no event to exceed either <br />scope of coverage or the limits of insurance provided in this policy, <br />jinformation required to complete 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 provision <br />contained In Paragraph A,1, of Section II - Covered <br />Autos Liability Coverage in the Business Auto and <br />Motor Carrier Coverage Forms and Paragraph D.2. of <br />Section I - Covered Autos Coverages of the Auto <br />Dealers Coverage Form. <br />CA 20 4810 13 0Insurance Services Office, Inc., 2011 Pagel of 1 <br />