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1/21/2020 <br />POLICY NUMBER: BAP5571088-07 COMMERCIAL AUTO <br />CA 20 48 10 13 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />DESIGNATED INSURED FOR <br />COVERED AUTOS LIABILITY COVERAGE <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 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 Form. This endorsement does not alter coverage <br />provided in the Covomgo 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: All American Asphalt <br />Endorsement Effective Date: 08101/201g <br />SCHEDULE <br />Name Of Person(s) Or Organtzation(s): <br />ANY PERSON OR ORGANIZATION TO WHOM OR WHICH YOU ARE REQUIRED TO <br />PROVIDE ADDITIONAL INSURED STATUS ON A PRIMARY, NON-CONTRIBUTORY <br />BASIS, IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT EXECUTED PRIOR TO <br />LOSS. EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW. <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.I. of Section 11 — Covered <br />Autos Liability Coverage in the Business Auto and <br />Motor Carrier Coverage Forms and Paragraph D2. of <br />Section 1 — Covered Autos Coverages of the Auto <br />Dealers Coverage Form. <br />CA 20 48 10 13 <br />SCHEDULE: <br />City of Santa Ana <br />® Insurance Services Office, Inc, 2011 <br />IWED & APPROVED <br />MANAGEMENT DMSION <br />AN 22 2020 <br />fib MadtITHA M. LAMBERT <br />517W571191011Sm duff SS. xS: Ma WO.1.11121202010.15111"(PST) I P-10-f II <br />