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POLICY NUMBER: 7352-29-55 <br />COMMERCIAL AUTO <br />CA 20 48 02 99 <br />'THIS ENDOMEM ENT CHANGES THE POLICY. PLFA$g RFAID ii 0AR LLV. <br />DESIGNATED INSURED <br />TWO ondotmment Inodilles Insurance prov)ded under the /olloa9ng; <br />S(JSINM AVI•0 COYSIAGE FOAM <br />GAFbkGE %.OyF 410E FORM <br />101010R C4PRlEi COVERAGE F-ORIN <br />TWOMRS CDWRAGE Pow <br />thisndth 3 respect o q; �MP Prevlded by this endorserrront the P�uvislons of tt a Coveraga Fonrr eppfy urjk3g t by <br />This endorsetttertt identi6as ppeererson(s} or 4r9411146ivn(s) who ttrs 'hsuredg"+mdertno YYho is Art lrtsured PteVlBlCrf C>Z <br />tine CICt?Ere9e Form. Th fs erldors9ntan(60" not alter cuverape prowdrd in tha end Form. <br />TtIS t?r1dorS9meis1 CtlIP913 the PcliCY eiNctive cm tha Ieoeption data of the panoy ynfppp a *Omr dads in indloC <br />i vw. <br />Endo"x—t Fuscous: 6/25/12 Countaroi;ned ay: �, / <br />Nw-d fissured~ ICF JONES & STOKES, INC. Az-?'� � ©YC C-'t-, <br />ftwnm <br />Name of Person(s) or Organization(s): <br />"z"y person or organization as required by insured contract" <br />(IF no erf0'y appears above. Ir i'mT a lon regairad to ct>crlpW Ihis en dolsemert wilt be ahorrn In the paslerations as <br />aPPtknbla to the endorseow t.l <br />each person or orga lzalion erhtrurn in he Schedule is en lnsured" for t_iaNVty Covgragq but ony to ho ex.ent fhM <br />Person to UrgttrtrzRtlo� quallne9 as aVInsur3p" under the Wne Is An Insured Provkort COntalned In Section if of tha <br />Coverage Form, <br />CA 20 4410299 CopyrEg)tt, Insuranstr Servioee ot%, ina. ,_CSB P=P I ar 1 13 <br />