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POLICY #: 57UENUL6878 <br />COMMERCIAL AUTO <br />CA 20 48 02 99 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />DESIGNATED INSURED <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />GARAGE COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />TRUCKERS COVERAGE FORM <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- <br />fied by this endorsement. <br />This endorsement identifies person(s) or organization(s) who are "insureds° under the Who Is An Insured Provi- <br />sion of the Coverage Form. This endorsement does 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: 811!2008 <br />Harris & Associates Inc. <br />SCHEDULE <br />Name of Person(s) or Organization(s): ~~~~QQ .~,~~ S~ <br />Any person or organization with whom you agreed, pur ~`~'W~ritten contrack.or-wntten agreement <br />to provide insurance such as is afforded under this po~/' / ~/a-/K <br />..t <br />ASP.,, <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as <br />applicable to the endorsement.) <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 as an "insured" under the Who Is An Insured Provision contained in Section 11 <br />of the Coverage Form. <br />Subject to all other terms and provisions of the policy, such insurance as provided by this endorsement shall be <br />deemed primary, but only with respect to work performed by or for the named insured in connection with the above <br />described contract. Any other insurance maintained by the Additional Insureds) shall be excess and non- <br />contributory. <br />CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 <br />