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CA 20 46 (0249) <br />THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. <br />o CILI I C, 4 <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />GARAGE COVERAGE FCRM <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 <br />by this endorsement. <br />This endorsement Identifies person(s) or organization(s) who are "insureds' under the Who Is An Insured Provision <br />of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. <br />SCHEDULE <br />Name of Peraon(s) or Orgenlsetion(s): <br />CITY OF SANTA ANA <br />PUBLIC WORKS AGENCY M36 <br />(If no entry appears above, Information required to complete this endorsement will be shown In the Declarations 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 extent that <br />person or organization qualities as an 'Insured" under the Who Is An Insured Provision contained in Section 11 of the <br />Coverage Form. <br />CA 20 e6 (02-99) <br />Copyright, Insurance Services Office, Inc., 1986 <br />LYND 14121 AGEW COPY CA20490M 0 0240 25 0010550 <br />