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POLICY NUMBER: AS8—Z91-454288-029 <br />COMMERCIAL AUTO <br />CA 20 48 10 13 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />Xon 4 04 11111FAIII A ILO14• -. <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 organlzation(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 after coverage <br />provided in the Coverage Form. <br />SCHEDULE <br />Name Of Person(s) Or Organization(s): <br />Any person or organization whom you agreed in writing as an additional Insured, but only for the coverage and <br />minimum limits of insurance required by the written agreement, and In no event to exceed either the scope of <br />coverage or the limits of insurance provided In this policy. <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 <br />provision contained in Paragraph A.1. of Section II — <br />Covered Autos Liability Coverage in the Business <br />Auto and Motor Carrier Coverage Forms and <br />Paragraph 0.2. of Section I — Covered Autos <br />Coverages of the Auto Dealers Coverage Form. <br />CA 20 48 110 13 <br />REVIEWED & APPROVI t. <br />By Risk MANAGEMENT nivisiop, <br />Fj�3(�16 2020 <br />® Insurance Services Office, Inc., 2011 <br />Page 1 of 1 <br />