Laserfiche WebLink
Miscellaneous Attachment: M503359 Certificate ID: 17783104 <br />POLICY NUMBER: BAP 9830390 <br />COMMERCIAL AUTO <br />CA20481013 <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 provided <br />in the Coverage Form. <br />This endorsement changes the policy effective on the inception date of the policy unless another date is indicated <br />below. <br />SCHEDULE <br />Name Of Person(s) Or Organization(s): <br />NY PERSON OR ORGANIZATION YOU ARE REQUIRED TO ADD AS AN ADDITIONAL INSURED UNDER WRITTEN <br />ONTRACT OR WRITTEN AGREEMENT. <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 provision <br />contained in Paragraph A.1. of Section II — Covered <br />Autos Liability Coverage in the Business Auto and Motor <br />Carrier Coverage Forms and Paragraph D.2. of Section <br />I — Covered Autos Coverages of the Auto Dealers <br />Coverage Form. <br />CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 <br />kuk M..g..d Diwion <br />AARine 6^ArrR 1BY: <br />"'�'- Rrsk hUna9nrcn.Umal Nde <br />