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POLICY NUMBER: 648161463 COMMERCIAL AUTO <br />CA 20 48 02 99 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under 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 eadotnuient, thaprovisions of the Coverage Form applyunloss <br />modified by this endorsement. <br />This endorsement identities parson(s) or organization(s) who are' insureds" under the Who Is Air 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 0 <br />indicated below. <br />Endorsomem Effcotivoi 04-23-2015 <br />Countersigned By: <br />�WvNamed <br />ffth <br />Insured: <br />EXTEMOR PRODUCTS CORrORATION <br />(A u z�od Representative) <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 PLL <br />SANTA ANA, CA USA 9270I4058 <br />(If no entry appears above, informatioa required to complete this endorsement VAII be sho'Xilin the <br />Declarations as applicable to the endorsement.) <br />Each perscm or organization shown in the Scheduleisaa " insured" for Liability Coverage, but only to the extent <br />that person or organization qualffies as an "insured" under the Who Is AnInsured ProAsion contained <br />in Section 11 of the Coverage Form, <br />CA 20 48 02 99 Copyright, Insurance Services Office, Inc,, 1948 Page I of I Q <br />nwo Full Cop' <br />