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POLICY NAME! 8XIMENS CORPORATION COMMERCIAL. AUTO <br /> POLICY EFFECTIVE: 10 1-28 TO 10-01-16 <br /> POLICY NUMBER' TC2J­CAP-7440L34A-TIL-,25_ ISSUE DATE. 09-08-25 <br /> THIS ENDORSEIVIEINT CHANGES T PHE POLICY. ' LEASE READ IT CAREFULLY,. <br /> BLANKET ADDITIONAL INSURED <br /> Thi;9,ondorseffiorat Moi.5flilt insutance provided under the-following! <br /> BUSINESS AUTO COVERAGE FORM <br /> iMOTOR GARWER COVERAGE FORM <br /> The following Is added to Paragraph c. hn A.1., Who Wtweert you-T and that person or orgaaization,, that is <br /> Is An Insured, of SECTION 11 — WASWTY -signed by you ' for e the 7bodily Injury" or `progorty <br /> COVERAGE in the BUSINESS AUTO COVERAGE darnageff occurs aftdthat Is in off during the policy <br /> FORM arLd Paragraph @.Jn AA..Who ls,kninsuirad, period, to name, -As, ark additional insured for Liability <br /> of SECTION 11 LIASILITY COVERAGE In the 0ovoirale, but only for damages to whicb, ",5 <br /> MOTOR CARRIER, COVERAGE iFORM, whichever Insurance- applies and a nly to the ;extent of' that <br /> Coverage Fam' part of your poli.-y., Sjlabllify, for <br /> is persoWa or organization'- the conduct of <br /> This includes any person ovoroanizalien who you are <br /> ano Cher Insured", <br /> requilrod under a wrlilan contract or agreement <br /> Signature: Pr4cz-e� <br /> Email: jacevedo5@santa-ana.org <br /> CA T4 37 08 17 V 2.016 Ilia Ttavelwa fildefartity Cwapaxq. AA rights Y&W rvad� Page 1 of I <br /> WUNdryt COP�rcjhted MAI&hfillf of IMUNAU,SeMeea 01 4,tr-W9h flapairmimidDil <br />