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Allstate. <br />yb." In g.od hands, <br />POLICY NUMBER: 648161463 <br />COMMERCIAL. AUTO <br />CA 20 48 02 99 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided raider the following: <br />BUSINESS AUTO COVERAGE FORM <br />GARAGE COVERAGE FORM <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 <br />modified by this endorsement. <br />This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured <br />Provision 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 <br />indicated below. <br />Endorsement Effective: 04 - 23 - 2 014 <br />Countersigned By: <br />Authorized Representative) <br />Named Insured: EXTERIOR PRODUCTS <br />SCHEDULE <br />Name of Person(s) or Organization(s): <br />THE CITY OF SANTA ANA <br />COMMUNITY DEVELOPMENT AGENCY <br />ADMINISTRATIVE SERVICES DIVISION M-25 <br />20 CIVIC CENTER PLZ <br />SANTA ANA, CA USA 927014058 <br />(If no entry appears above, information required to complete this endorsement will be shown in the <br />Declarations 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 11 of the Coverage Form. <br />N <br />Ru114R-3 CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 ❑ <br />Additional Insured Copy <br />