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POLICYNUMBER: BAP 1857085-02 COMMERCIAL AUTO <br />CA20701013 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />COVERAGE FOR CERTAIN OPERATIONS <br />IN CONNECTION WITH RAILROADS <br />This endorsement modifies insurance provided under the following: <br />AUTO DEALERS COVERAGE FORM <br />BUSINESS AUTO COVERAGE FORM <br />MOTOR CARRIERS COVERAGE FORM <br />With respect to coverage provided under this endorsement, the provisions of the Coverage Form apply unless <br />modified by the endorsement. <br />This endorsement changes the policy effective on the inception date of the policy unless another date is indicated <br />below. <br />Named Insured: <br />Endorsement Effective Date: <br />SCHEDULE <br />Scheduled Railroad <br />Designated Job Site <br />ALL CONTRACTORS FOR WORK DONE FOR <br />RAILROADS <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />With respect to the use of a covered "auto" in <br />operations for or affecting a railroad designated in the <br />Schedule at a Designated Job Site, the two exceptions <br />contained in the definition of "insured contract" <br />relating to construction or demolition operations <br />performed within 50 feet of a railroad do not apply. <br />CA20701013 © Insurance Services Office, Inc., 2011 <br />RWt <br />�2 �a R EWED V <br />I li l <br />�"�""Risk Maliagement4Upervi�or <br />