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Al-KINS NORTH AMERICA A-2010-005 REVIEWED B EUNICE HEREDIA (PG 5 Of- 13) <br />Y <br />POLICY NUMBER: CAH740901704 COMMERCIAL AUTO <br />CA 20 48 02 99 <br />THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. <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 />Endorsernent Effective: April 1, 2015 <br />Countersigned By: �0 <br />C, <br />Named Insured: ATKINS US HOLDINGS INC., <br />ATKINS NORTH AMERICA, INC <br />(Authorized R-­--+-tive) <br />WT19qNIU11115 <br />Name of Person(s) or Organization (s): PER WRITTEN CONTRACT <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 <br />in Section 11 of the Coverage Form. <br />CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 ❑ <br />