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COMMERCIAL AUTO <br /> CA83071013 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED ENDORSEMENT <br /> This endorsement modifies insurance provided under the following: <br /> BUSINESS AUTO COVERAGE FORM <br /> MOTOR CARRIER COVERAGE FORM <br /> With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified <br /> by the endorsement. <br /> This endorsement changes the policy effective on the inception date of the policy unless another date is indicated <br /> below. <br /> Endorsement Effective: 10/1/2025 Countersigned By: <br /> Interval House <br /> Authorized Representative <br /> SCHEDULE <br /> Name and Address of Additional Insured: <br /> City of Santa Ana,its officers,agents,employees and volunteers <br /> (If no entry appears above, information required to complete this endorsement will be shown in the Declarations <br /> as applicable to this endorsement. <br /> A. SECTION II -Who Is An Insured is amended to include as an insured the person(s) or organization(s)shown in <br /> the Schedule, but only with respect to their legal liability for acts or omissions of a person for whom Liability <br /> Coverage is afforded under this policy. <br /> B. The additional insured named in the Schedule or Declarations is not required to pay for any premiums stated in <br /> the policy or earned from the policy. Any return premium and any dividend, if applicable, declared by us shall <br /> be paid to you. <br /> C. You are authorized to act for the additional insured named in the Schedule or Declarations in all matters <br /> pertaining to this insurance. <br /> D. We will mail the additional insured named in the Schedule or Declarations notice of any cancellation of this <br /> policy. If we cancel, we will give ten (10)days notice to the additional insured. <br /> E. The additional insured named in the Schedule or Declarations will retain any right of recovery as a claimant <br /> under this policy. <br /> THIS ENDORSEMENT MUST BE ATTACHED TO A CHANGE ENDORSEMENT WHEN ISSUED AFTER THE <br /> POLICY IS WRITTEN. <br /> CA 83 07 10 13 Includes material copyrighted by Insurance Services Office, Inc., Page 1 of 1 <br /> with its permission <br />