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M <br />COMMERCIAL AUTO <br />CA 20 48 10 13 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />I A 1 0 1 0 0 <br />MOM :I A A <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, tha 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 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: ZIM INDUSTRIES, TNC. <br />Endorsement Effective Date: 3/1/2019 <br />Name Of Person(s) Or Organization (s): <br />ANY PERSON OR ORGANIZATION TO WHOM OR WHICH YOU ARE REQUIRED T <br />j <br />PROVIDE ADDITIONAL INSURED STATUS OR ADDITIONAL IINSLJ E <br />N <br />0 n <br />Information re opted to complete this Sc <br />hedule, if not shown al)ci <br />L�yewill be shown in the Decla <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 11 — 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 />C Insurance Services Office, Inc., 2011 <br />Page 1 of 1 <br />