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Attac��87 Certificate ID: 18576359 <br /> DESIGNATED INSURED FOR COVERED A • O‘In, <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <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 <br /> Coverage under the Who Is An Insured provision of the Coverage Form.This endorsement does not alter <br /> coverage provided in the Coverage Form. <br /> This endorsement changes the policy effective on the inception date of the policy unless another date is <br /> indicated below. <br /> Named Insured: T-MOBILE US, INC. <br /> Endorsement Effective Date:5/1/2024 <br /> SCHEDULE <br /> Name Of Person(s)Or Organization(s): <br /> Where required by written contract executed prior to loss. <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 an" insured" for Covered Autos Liability Coverage, <br /> but <br /> only to the extent that person or organization qualifies as an"insured"under the Who Is An Insured provision <br /> contained in Paragraph A.1. of Section II - Covered Autos Liability Coverage in the Business Auto <br /> and Motor <br /> Apti/ed /CT CAA.0'.4,-, <br /> I0/3O f 2 ' <br /> Form No: CA 20 48 10 13 Policy No: 7012343878 <br /> Endorsement Effective Date:5/1/2024 Policy Effective Date: 5/1/2024 <br /> Underwriting Company: Continental casualty Policy Page: <br /> © Copyright Insurance Services Office,Inc.,2011 <br />