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i <br /> i <br /> i <br /> POLICY NUMBER: BAP2041776-12 COMMERCIAL AUTO <br /> CA 20 4810 13 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> DESIGNATED INSURED FOR <br /> COVERED AUTOS LIABILITY COVERAGE <br /> This endorsement modifies Insurance provided under the following: <br /> , <br /> f ` <br /> AUTO DEALERS COVERAGE FORM t <br /> BUSINESS AUTO COVERAGE FORM <br /> MOTOR CARRIER COVERAGE FORM ' k f <br /> i 1 <br /> With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless g <br /> modified by this endorsement. <br /> This endorsement Identifies person(s) or organization(s)who are"insureds"for Covered Autos Liability Coverage i <br /> under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage <br /> 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 i <br /> Endorsement Effective Date: <br /> k <br /> i <br /> SCHEDULE <br /> Name Of Person(s)Or Organlzation(s): t E <br /> Any person or organizatlon to whom you become obligated to include as an Insured under this policy,as a result of any written contractor f <br /> written agreement you enter Into.This Insurance Is excess over any other Insurance naming the designated Insured as an insured whether primary, <br /> excess,contingent or on any other basis unless this written contract or written agreement specifically requires that this Insurance be either primary or ; <br /> primary and noncontributing. 1 <br /> 1 , <br /> j # <br /> E i I <br /> i <br /> • i <br /> I <br /> f <br /> � t <br /> � � I <br /> t 3 <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,but only to I <br /> the extent that person or organization qualifies as an"insured"under the Who Is An Insured provision contained E <br /> In Paragraph A.I.of Section II-Covered Autos Liability Coverage In the Business Auto and Motor Carrier Coverage <br /> Forms and Paragraph D.2,of Section I-Covered Autos Coverages of the Auto Dealers Coverage Form. <br /> j <br /> • i <br /> CA 20 48 1013 ©Insurance Services Office, Inc.,2011 Page 1 of 1 a <br /> i <br />