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POLICY NUMBER: ACP7815094878 COMMERCIAL AUTO <br />CA 20 48 0299 <br />THIS END0116EMENT CHANGES THE POLICY, PLEASE READ IT CARE#bLLY. <br />DESIGNA110 INSIUM <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />GARAGE COVERAGE FORM <br />CAR,RT'ERaNMAGO <br />TRUCKERS COVERAGE RM <br />With rospgbf to coverage provided by this endorsement, the provisions of the Coverage Form apply unless niodi- <br />tied by thig endorsement. <br />Tliis.endorsebtent idontitYes peson(s) or organization(s) who are insureds under the R^tro Is An Insured Provision <br />of the Coverage Form This and raoment does not after coverage provided in the Coverage Form. <br />This endorsement changes the p lioy effective on the inception date of the policy unless another data is indicated <br />below. <br />Endorsement Effecdvo: 2/20/13 Countersigned By:. <br /> <br />emodlnsurod:, <br />METROPRO ROAD SERVICES <br />SCHEDULE <br />+ . ame or rerson(s) or Ur. <br />ITY OF SANTA ANA, <br />AGBNTS AND REPRESENTATIVES . <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />(If no entry appears above, infoi <br />applicable to the endorsement.) <br />to complete this endorsement will be shown in the Declarations as <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 qualiflea as an insured under the Who Is An Insured Provision contained <br />in Section II of the Coverage Form. <br />APPROVED AS TO FORM <br />Laura A. Rossini <br />A ssistant City Attorney <br />i <br />CA 20 48 0299Copyright, I+ce Services Office, Inc., 1998 Page 1 of I 4