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POLICY NUMBER: Al2-641-005097-050 <br />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 fallowing: <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 organizations) who are "Insureds" far 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 />Any person or organization whom you have agreed In writing to add as <br />an additional Insured, but only to coverage and minimum limits of <br />Insurance required by the written agreement, and in no event to exceed <br />either the scope of coverage or the limits of Insurance provided In <br />this policy. <br />will be primary and non-contributory to any like Insurance <br />the person or organization noted above, <br />information 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 LlabliityCoverage, but <br />only to the extent that person or organization qualifies <br />as an "Insured" under the Who IsAn Insured provision <br />contained In Paragraph A.I. 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 />REVIEWED & APPROVED <br />B <br />yPA CAL: DIVISION <br />tiC T-I.EISTRA <br />CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 <br />