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j <br />POLICY NlJNIM: ACP78150?4878 COMM1 RCIAL AVI'O <br />CA 20 48 0299 <br />THIS ENDORS'E'MENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />DESIONAtO 10UkE D <br />This endorsement modifies btsuianoe provided under the following: <br />BUSINBSS AUTO OOVBRAQE FORM <br />GAPA[t COVERAGE POW <br />?v;tY#YSttCARa2 3cCOVH2AC>ti'F,b M <br />TI{uCKERS COVERAGE FQ M <br />With rospeut.to coverage providod by this endorsement, the provisions of the Coverage Form epply "loss modi. <br />fled by, this, endorsement. <br />T.h,#s.atdorsement #dettitiiAcs pe5son(s) or organization(s) who are insureds under the Who Is An Insured Piovis#dn <br />of the Coverage Form. This end rsoment does not alter ooverage provided in the Coverage Form, <br />This endorsement changes the p hcy effective on the inception date of the policy unless another date is indicated <br />below. <br />ndorsomont Effeotivc: 72/20/13' ountarsignai By; . <br /> <br />amedlnsured:.:r` ? <br />OPRO ROAD SERVICES <br />SC MULE <br />y N me Or r er80n(e) or Vrgant?atien(S): <br />ITY OF SANTA ANA, IT'S OFFICERS, EMPLOYEES, AGENTS AND REPRESENTATIVES . <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 ! <br />(If no entry appears above, infminalion required to complete this endorsement will be shown in the Declarations as <br />applicable to the endorsement.) - <br />Eaeh,persmi or organization shown In the Schedule is ea insured for Liability Coverage, but only to the extent <br />that person or organizatlon.lUalisios as an insured under the Who Is An Insured provision contained <br />in Section 11 of the Coverage Form. <br />®VED AT Tn FOPV <br />APP <br />7 <br />Laura A. Rossini <br />Assistant City Attorney <br />1111 <br />CA 20 49 0299Copyright, Inso('ance Services Office, Inc., 1998 Page 1 of I Q