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MARK THOYA'rA C MF�NY A-10&173 REY,1E ED BY: <br />nsu ey� ,V ar� onlas ompany, C�v <br />Policy No: ACP3006833955 <br />EUNICE HEREDIA (PG 4 OF 8) <br />COMML, RCIAL 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 endorsement, the provisions of the Coverage Form apply unless modified by this <br />endorsement. <br />This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the <br />Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. <br />Name of Person(s) or organization (s): <br />BLANKET WHERE REQUIRED BY WRITTEN CONTRACT, <br />EXECUTED PRIOR TO ANY "ACCIDENT" <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable <br />to the endorsement.) <br />Each person or organization shown in the Schedule is an "Insured" for Liability Coverage, but only to the extent that person, or <br />organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section 11 of thle Coverage Form. <br />Copyright, Insurance Services Office, Inc. 1998 <br />