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CNA Business Auto Policy <br /> Policy Endorsement <br /> LESSOR - ADDITIONAL INSURED AND LOSS PAYEE <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> This endorsement modifies insurance provided under the following: <br /> AUTO DEALERS COVERAGE FORM <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 <br /> modified by the endorsement. <br /> This endorsement changes the Policy effective on the inception date of the Policy unless another date is <br /> indicated below. <br /> Named Insured: ADMINSURE, INC. <br /> Endorsement Effective Date: 01/01/2026 <br /> SCHEDULE <br /> Insurance Company: National Fire Insurance Company of Hartford <br /> Policy Number: 7036373744 Effective Date: 01/01/2026 <br /> Expiration Date: 01/01/2027 <br /> Named Insured: ADMINSURE, INC. <br /> Address: 3380 SHELBY ST <br /> ONTARIO, CA 91764-5566 <br /> Additional Insured (Lessor): <br /> Address: <br /> Designation Or Description Of "Leased Autos": <br /> Coverages Limit Of Insurance Or Deductible <br /> Liability $1,000,000 Each"Accident" <br /> Comprehensive Deductible For Each Covered "Leased Auto" <br /> Collision Deductible For Each Covered "Leased Auto" <br /> Specified Causes Of Loss Deductible For Each Covered "Leased Auto" <br /> Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br /> Form No: CA 20 01 11 20 Policy No: BUA 7036373744 <br /> Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 01/01/2026 <br /> Endorsement No: 3; Page: 1 of 2 Policy Page: 40 of 62 <br /> Underwriting Company: National Fire Insurance Company of Hartford, 151 N Franklin St, Chicago, IL <br /> 60606 <br /> ©Copyright Insurance Services Office, Inc., 2019 <br />