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FROM : <br />POLICY NUMBER: XSA HM116082 <br />FAX NO. :714-647-6549 Jun. 29 2006 07:23AM P2 <br />ENDT, 021 <br />COMMERCIAL AUTO <br />DAzv404Z99 <br />THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. <br />DESIGNATED INSURED <br />This endorsement modifies insurenca provided under the fvllawlna; <br />BUSINESS AUTO COVE -RAGE FORM <br />GARAGE COVERAGE FORM <br />MOTOR CARRIER COVERAQE FORM <br />TRUCKERS COVERAGE FORM <br />With,ir&speoVto coverage provided by this endorsement, the pr"ions -of the- Coverage• form- applpow*s <br />modified by this endorsornont, <br />This endorsement Identifies persona) or of+ganlz on(s) who aro "insureds'° under the Who Is An Insured <br />Provision of the Coverage Form. This endorsement doss not alter coverage provided 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 />Endorsement Effective: og/oi/2005 I Countersigned By: <br />Narnso Insured: greyhound Lines, Inc. <br />SCHEDULE <br />Name of Persons) or Organi'zation(&)., <br />mars rw4ired by inaumd contract <br />(If no entry appears above, Informatlon required to complete this andoraem rit will be shown in the Dooloretbris as <br />aoNirabie to the sndoreement.) <br />Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent <br />that person or organization qualifies or, an "insured" under the who Is An Insured provision contained in SECTION <br />II of the Coverage Form. <br />CA 2i02 tai `� ,(�N Copyright, insurance Servloes Offloe, Inc_. '^^a n--^ R M11 w C <br />NOI Nlnl WWAA : / annr 97 •winr <br />