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<br />Feb 28 06 11:43a <br />. <br /> <br />Tlla\!;l <br /> <br />Fe~ 23 06 09.53a <br /> <br />T11a\!;1 <br /> <br />:-::;-06; B ::;:;.^v: . C." B..}Ii..('E.I~.s, Il.j(" <br /> <br />: 7.,<1 ~GS 03":'1 <br /> <br />peLlCY 'UM5~1'\: <br /> <br />c~MMERClAL AUTO <br />ISS~E DATE, <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />DESIGNATED INSURED <br /> <br />Hie -a!ldOl'Sement mcdfflea]t\S....IInC9 J)(ovided unaer U1e fOllOwing: <br />SUSIJ>lESS AUTO COVERAGE FORM <br />GARAGE COVERAGE FOAM <br />MOTOR CARRIER COVE1W3E FOR~ <br />TRUCKERS COVER.':GE FOAM <br />Wilt! resQecr fQ coverage "..Ide" DY ihtC "ncfotsametJr. rtle prtlvlSklns of ttt9 CeviIf'igM r~ 1lP~ urn.. madl- <br />fied b)' rhiE, endorsement. ' <br />This &ndMiiumt'r\t id8CUifieS pMlon(&) oc ~tlatlDn(5) MlQ lire "insurEds- under the Wile Ju An lns.~ P~i. <br />siOn of rtJC Cov'r.l9' Foftl1. ntl's lWldorsamenl dOltS net alter coverage proVided in Ehe Covl!ragi FQI'ft1_ <br />SCHeDULE <br /> <br />Nom. of ".n;an(!ll or olllo.l..lIon(o), <br /> <br />"Any penon or org.mization that you a.re required to include as an additional <br />insured on this coverage form in. a written contract 01" agreement that is signed <br />and eX6Guted by you h8furd the "bodily injury" or Ilproperty damage" OCCllrs <br />and that Is In effect durin II the ~Qlicy period." <br /> <br />tlf no lintl"j ~~ft, ~., infOftnQtloft requir8cl '0 aamplota ~ cndOl'$lImcnt will be ~n in Ol& Oll5cllJ'al:iQna <br />.. ~Ppl1<Obl8:C Iho ."d.....mtnt.) <br />EIIGt1 ptnan Ql" Qrglil~;Jlkln 'Shawn in 1M: :SC!\eCSUla ($ ~ "lm\I"",, for UBbi.l\t'j cmraoe. U of'bt to fle e:tIem <br />that pll1cn or QfQaI1IDlXln Qualirtes as an "lnsured'l under the WM.1I An Inljl"l'BCI PrOvIsion CDRtIWl!!ld 1ft SldOlt <br />n of the eo.e_ ""1111. <br /> <br />CA III 4Uaov <br /> <br />l;op'fng"~ 1",,"1:lI1O/l S.",tce. omce. Ill<:., (!!S8 <br /> <br />"-9. 1 011 <br /> <br />'," .;...'........'; <br />'.'."Rl'V',':') l.~:> i ;"J i 1...,;';',1".' <br /> <br />., I' .,.~' .".__J,il~--- <br />-~._.- ",--....(.- <br />,','"" ',' l.l "Ll.~~UY <br />.." ",..." <br />i\ ....:>1.' l.., ,~, ,......, 'I Y .'\ 11 ',~;';.{~:, <br /> <br />If G \3 <br /> <br />p.6 <br /> <br />p,? <br /> <br />I <br /> <br />I <br />I <br /> <br />I <br />