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PQLLSUiv; 19. 2006; 7:47AM1722o LOCKTON <br />NO. 5805 P. 31DT. 016 <br />ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION <br />Named Insured Greyhound Linea, Inc. <br />Endorsement Number <br />id <br />Policy Symbol <br />Policy Number <br />Policy Period <br />Effective Date of Endorsement <br />XSL <br />621722029 <br />09/01/2005 to 09/01/2006 <br />09/01/2005 <br />Issued sy (Name of Insurance Company) <br />ACE Ataerioun Insurance Company <br />Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequsrd to the pmperdfia+ of the 15e64. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under the following: <br />EXCESS COMMERCIAL GENERAL LIABILITY POLICY <br />SCHEDULE <br />Name of Person or Organization: <br />Blanket as required by written contract. <br />WHO IS AN INSURED (Section II) is amended to include 85 an insured the person(&) or organization(s) shown in the Schedule ar. an <br />Insured but only with respect to liability arising out of your operations or premises owned or rented by you. <br />Authorized Agent <br />X"W25 (09195) Ptd, in U,SA. <br />