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ACP OAPO25150846%6 <br />COMMERCIAL AUTO <br />CA 20 48B 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 />This endorsemeni identifies person(s) or organizaiion(s) who are "insureds" under the Who Is An Insured Provi- <br />sion of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. <br />This endorsement changes the policy effective on the inception date of the policy unless another date is indicated <br />below. <br />SCHEDULE <br />Jame of Person(s) or Organization(s): <br />kny person or organization which you have agreed to name as as additional insured in a written contract, exe- <br />wled prior to a loss other than a contract forthe lease or rental of a vehicle. <br />(if no entry appears above, information required to complete this endorsement will be shown in the Declarations <br />as applicable to the endorsement,) <br />Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent <br />that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained <br />in Section tl of the Coverage Form. <br />All terms and conditions of this policy apply unless modified by this endorsement. <br />CA 20 4813 02 99 Copyright, Insurance Services Office, Inc., 1998 Pagel of 1 <br />IRcY' <br />r,t�l <br />ASS�stan..,/ <br />C� <br />