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POLICY NUMBER: 7352-29-55 COMMERCIAL AUTO <br />CA 20 48 02 99 <br />IrHtSENDOMEMENTCHANGESTHEPOLICY. PLwmrnvAj7-CAREFULLY. <br />DESIGNATED INSURED <br />This andorserrrent rnodiges Insurance provldsd under the (o))otWngr <br />OU-MM AtdrO COYF3AAGE t-oRM <br />CiAFb4GE WAMA0E FORM <br />WOTOR CAFREIR COVERAGE FDRbf <br />TRUCKERS cOVER&GE FORM <br />With respoet to covti'nigs Provided by this endoraernent, the pruvarions of ft e Coverage Ferns apply unless rnodiflad by <br />this endorsement. <br />This e1domnwnt identifies ppe?r?s?on(s) or argortkativn(s) who are mInaurad9"uaderthe Who is An htsured PfevlBfon o< <br />the Cowage Form. n fa endorsamenf eoes not alter cuverage provxfod in the Coevrapo Far4n, <br />This "orsernent chNngas the pellcy eifer ive an that Inception data of the panty a.ologg anot4or dzba in indlooted <br />17Bi0W, <br />l3nobrxn»nt EtYecfive: 6/25/12 Coun4?rt?rte'dt,t3yl; <br />Named fnsurech ICF JONES & STOKES, INC. <br />Name of Person(s) or Organization(s): <br />ftNE LE <br />"z1aw person or organization as required by insured contract" <br />(it no entry appears abova InfOrmatlon regalrad to Compfgte MIS endorsemort wilt be shown in the Desleratlons as <br />aPpeoa6le to me endorsarnent.) <br />Each person or organfzatlori ahawn in he Schedule is an 'insured' for Liahility Cowrago, but only to !,v emtent fhef <br />par9on of Urganrzetfoi quallnes as a-, 'lnsurpa, under the Who Is An insured Proviaion co"Wned in Srodort U of the <br />Ccsaerege Form. <br />CA M 44t 02 99 Copprtght. Irrsutencs Services atfica, Inc, 19% Pugo a! 1 t7