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OCEAN BLUE ENVIRONMENFALA-2013-115-02 REVIEWED BY EUNiCE HEREDIA (PG '12 OF '16) <br />POLICY NUMBER: SISIPCA08268415 COMMERCIAL, AUTO <br />CA 20 01 10 13 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />LESSOR - ADDITIONAL INSURED AND LOSS PAYEE <br />This endorsement modifies insurance provided under the following: <br />AUTO DEALERS COVERAGE FORM <br />BUSINESS AUTO COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless <br />modified by the endorsement. <br />This endorsement changes the policy effective on the inception date of the policy unless another date is indicated <br />below. <br />Named Insured. Ocean Blue Environmental Services, Inc <br />Endorsement Effective Date: 7/1/2015 <br />SCHEDULE <br />Insurance Company- Starr Indemnity & Liability Company <br />Pollcy Number: SISIPCA08268415 <br />Effective Date: 7/1/2015 <br />Expiration Date., 71112016 <br />Named Insured: Ocean Blue Environmental Set-vices, Inc <br />Address: 925 West Esther Street <br />Long Beach, CA 90813 <br />Additional Insured (Lessor): Blanket where required by a written contract. <br />Address: Blanket where required by a written contract. <br />Designation Or Description Of "Leased Autos": Blanket where required by a written contract. <br />CA 20 01 10 13 OL, Insurance Services Office, Inc., 2011 Page 1 of <br />