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POLICY NUMBER: AH01 STR25000005400 <br /> COMMERCIAL AUTO <br /> CA 20 48 1013 <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 /> 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 this endorsement. <br /> This endorsement identifies person(s)or organization(s)who are "insureds" for Covered Autos Liability Coverage <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 indicated <br /> below. <br /> Named Insured: GEMS Environmental Management Services, Inc <br /> Endorsement Effective Date: 11/21/2025 <br /> SCHEDULE <br /> Name Of Person(s) Or Organization(s): <br /> Any and all jobs/projects of the insured, where any person or organization for whom you and such person or <br /> organization have agreed in writing, in a contract or agreement, that such person or organization be added as an <br /> additional insured on your policy, and executed prior to a claim. <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 <br /> an "insured"for Covered Autos Liability Coverage, but <br /> only to the extent that person or organization qualifies <br /> as an "insured" under the Who Is An Insured <br /> provision contained In Paragraph A.I. of Section II -- <br /> Covered Autos Liability Coverage in the Business <br /> Auto and Motor Carrier Coverage Forms and <br /> Paragraph D.2. of Section I -- Covered Autos <br /> Coverages of the Auto Dealers Coverage Form. <br /> CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 <br />