Laserfiche WebLink
POLICY NUMBER: COMMERCIAL AUTO <br />CA 20 48 02 99 <br />THI5 ENDORSEMENT CHANGES THE POLICY. PLEASE READ R CAREFULLY. <br />DESIGNATED INSURED <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />GARAGE COVERAGE FORM <br />h10TOR CARRIER COVERAGE FORM <br />TRUCKERS COVERAGE FORM <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by <br />this endorsement. <br />This entlorsement identifies persons) or organlzation(s) who are 'insureds' under the Who Is An Insured Provision of the <br />Coverage Form. This endorsement does not alter coverage provided In the Coverage Farm. <br />This endorsement changes the policy effective on the Inception date of the policy unless another date is indicated below. <br />Endorsement Effective: Countersigned By: <br />Named Insured: Dukes Root Control Inc. <br />(Authorized Representative) <br />SCHEDULE <br />Name of Persons) or Organization(s): <br />City of Santa Clara <br />220 South Daisy Ave <br />Santa Clara, CA 92703 <br />(If no entry appears above, information required to complete this endorsement will 6e shown in the Declarations as <br />applicable to the endorsement.) <br />Each parson or organization shown In the Schedule Is an "Insured' for Liability Coverage, but only to the eMent that parson <br />or organization qualifies as an "Insured" under the Who Is An Insured Provision contained in Section II of the Coverage <br />Form. <br />CA 20 48 02 99 Copyright, Insurance Services Office, Inc_, 1998 Page 1 of i <br />