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POLICYNUMBER: CAH740901703 COMMERCIALAUTO <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 mod- <br />ified 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: April 1, 2014 <br />Countersigned By: <br />Authorized Representative) <br />Named Insured: ATKINS US HOLDINGS INC., <br />ATKINS NORTH AMERICA, INC <br />SCHEDULE <br />Name of Person(s) or Organization(s): PER WRITTEN CONTRACT <br />(If no entry appears above, information required to complete this endorsementwill be shown in the Declarations a: <br />app icame io me 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 <br />in Section II of the Coverage Form, <br />CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 9 <br />