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COMMERCIAL AUTO <br />CA2O48U2QA <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 tocoverage provided bythis endorsement, the provisions ofthe Coverage Form apply unless modi- <br />fied bythieendomement. <br />This endorsement identifies pers>n(a)ororganizotion(a)who are "insureds" under the Who Is An Insured Provi- <br />sion <br />This endorsement changes the policy effective on the inception date of the policy unless another date is indicated <br />Endorsement Effective: 1/27/2016 <br />Countersigned By: <br />Named Insured: <br />CivilSource, Inc. <br />lltsdo44� <br />(Authorized Representative) <br />SCHEDULE <br />Name of Person(s) or Organ ization(s): Re: A-2015-163 OnCall & A-2015-237 OnCall - - City <br />of Santa Ana and their officers, agents and employees <br />(M no entry appears above, information required to complete this endorsement will be shown in the Declarations as <br />applicable hothe endurommonL) <br />EaohpemnnororganizaUonohownintheSchedu|oioon^insured^forLiobi|ityCoverage.buton|ytotheexh*nd <br />thatpereonororganizsdionqua|ifiasosan^inmured^undartheVVho|aAn|neuredProviaionoontsinedinSact|onU <br />of the Coverage Form. <br />CA2O4D 02A8 Copyright. Insurance Services Office, Inc., 1998 <br />