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POLICY NUMBER: COMMERCIAL AUTO <br />CA 20 46 02 99 <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 respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by <br />this endorsement. <br />This endorsement idantifles persons) or orgenizatlon(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 Forth. <br />This endorsement changes the policy effective on the Inception date of the policy unless another date is indicated below, <br />Endorsement Effective: <br />Countersigned By: <br />Named Insured: Dukes Root Control Inc, <br />Authorized Re resentative <br />SCHEDULE <br />Name of Paraon(a) or Organizatlon(s): <br />Ci[y of Santa Clara <br />220 Sou[h Daisy Ave <br />Santa Clara, CA 92703 <br />(If no entry appears above, information required to complete this endorsement will 6e shown in the Dedaratlons as <br />applicable to the endorsement.) <br />Each person or organization shown In the Schedule Is an "Insured' for Liability Coverage, but only to the aMent that parson <br />or organization qualifles as an "Insured" under the Who Is An Insured Provision contained in Section 11 of the Coverage <br />Form. <br />CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 page 1 of 1 <br />