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POLICY NUMBER: 72UUNUR1666 COMMERCIAL AUTO CA 20 46 02 96 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />DESIGNATED INSURED <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 rasped to coverage provided by this endorsement, the provisions of the Coverage <br />Form apply unless modified by this endorsement. <br />This endorsement identifies person(s) or organiz bons) who are "insureds" under the <br />Who Is An Insured Provision of the Coverage Form. This endorsement does not alter <br />coverage provided in the Coverage Form. <br />This endorsement changes the policy effective an the inception date of the policy unless <br />another date is indicated below. <br />Endorsement effective <br />May i 2011 <br />Named Insured <br />Countersigned by <br />Paragon Partners Ltd. <br />Waived <br />(Authorized Representative) <br />SCHEDULE <br />Name of Person(s) or Organbudlon(s): <br />C/ty of Santa Ana <br />(If no entry appears above, information required to complete this endorsement will be shown in <br />the Declarations as applicable to the endorsement) <br />Each person or organization shown In the Schedule is an "insured' for Liability Coverage, but only <br />to the extent that person or organization qualifies as an "immured" under the Who Is An Insured <br />Provision contained in Section It of the Coverage Form_ <br />CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 <br />