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COMMERCIAL AUTO <br />POLICY NUMBER: BA6K931299 <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 modi- <br />fied 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 pro- <br />vided in the Coverage Form. <br />SCHEDULE <br />Name Of Person(s) Or Organization(s): <br />ANY PERSON OR ORGANIZATION THAT <br />YOU ARE REQUIRED TO INCLUDE AS <br />ADDITIONAL INSURED ON THE COVERAGE <br />FORM IN A WRITTEN CONTRACT OR <br />AGREEMENT THAT IS SIGNED AND <br />EXECUTED BY YOU BEFORE THE BODILY <br />INJURY OR PROPERTY DAMAGE <br />OCCURS AND THAT IS IN EFFECT <br />DURING THE POLICY PERIOD. <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 Liability Coverage, but <br />only to the extent that person or organization qualifies <br />as an "insured" under the Who Is An Insured provi- <br />sion contained in Paragraph A.1. of Section II — Cov- <br />ered Autos Liability Coverage in the Business Auto <br />and Motor Carrier Coverage Forms and Paragraph <br />D.2. of Section I — Covered Autos Coverages of the <br />Auto Dealers Coverage Form. <br />CA 20 48 10 13 O Insurance Services Office, Inc., 2011 <br />Rime Mattagmient DMsion <br />REVIEWED&APPROVED By: <br />'� Risk Management Analyst <br />