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1 012 312 01 2 <br />POLICY NUMBER INSURED NAME AND ADDRESS <br />4022918108 PARKING CONCEPTS INC DBA TRANSPORTATION CONCEPTS <br />12 MAUCHLY <br />BUILDING I <br />IRVINE, CA 92618 <br />POLICY CHANGES <br />A DESIGNATED INSURED <br />This Change Endorsement changes the Policy. Please read it carefully. <br />This Change Endorsement is a part of your Policy and takes effect on the <br />effective date of your Policy, unless another effective date is shown. <br />Any person or organization that the Named Insured is obligated to <br />provide Insurance where required by a written . contract or agreement <br />is an insured, but only with respect to legal responsibility for acts <br />or omissions of a person for whom Liability Coverage is afforded <br />under this policy. <br />moo' k4-c�- <br />en.irm.n al me 9wrJ <br />G- 56015 —B (ED. 11191) <br />�15P <br />CER'C NO.: 14502022 CLIENT CODE: PARKC Iseld Cartillo 10/23/2012 3:52:51 PM Page G of A t /. �kV P, {10tW <br />assista� V �V) <br />