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POLICY NAME: SIEMENS CORPORATION COMMERCIAL AUTO <br /> POLICY EFFECTIVE: 10-01-25 TO 10-01-26 <br /> POLICY NUMBER: TC2J—CAP-7440L34A—TIL-25 ISSUE DATE: 09-08-25 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> BLANKET ADDITIONAL INSURED <br /> This endorsement modifies insurance provided under the following: <br /> BUSINESS AUTO COVERAGE FORM <br /> MOTOR CARRIER COVERAGE FORM <br /> The following is added to Paragraph c. in A.1., Who between you and that person or organization, that is <br /> Is An Insured, of SECTION II — LIABILITY signed by you before the "bodily injury" or "property <br /> COVERAGE in the BUSINESS AUTO COVERAGE damage" occurs and that is in effect during the policy <br /> FORM and Paragraph e. in A.1., Who Is An Insured, period, to name as an additional insured for Liability <br /> of SECTION II — LIABILITY COVERAGE in the Coverage, but only for damages to which this <br /> MOTOR CARRIER COVERAGE FORM, whichever insurance applies and only to the extent of that <br /> Coverage Form is part of your policy: person's or organizations liability for the conduct of <br /> This includes any person or organization who you are another"insured". <br /> required under a written contract or agreement <br /> CA T4 37 08 17 Q 2016 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 <br /> Includes copyrighted material of Insurance Services Office, Inc. with its permission <br />