Laserfiche WebLink
POLICY NUMBhR: 648161463 <br />COMMERCIAL AUTO <br />CA 24) 49 0199 <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 />whh respookwooverav* provide aby this ondatsDiriont, the provisions of the Coverage -rortn apply unless <br />mcdifltd by thia andoreato eat, <br />This endargemwit identifies poroan(s) or organizatioft(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 chargos the policy offoetiv• on the inception date of the pohoy unless soother date 6 <br />indicated below, <br />M&M-MM <br />Name of Parson(s) or Otgarilzathm(s): <br />TEE CITY OF SANTA ANA <br />COMMUNITY MELOPMENT AGENCY <br />IMINUTRATIVE SERVICES DIVISION M-25 <br />20 CIVIC CEXTER P149 <br />SANTA ANA, CA USA 92701,4058 <br />(if no entry appears above, inforin4tioaroquired to complete this endomment will be &hownin the <br />Doolarations as ipplicable to the Qndorsoinem.) <br />Each - person or the 5'chedulo,13on "insured" for Liability Coverap,btit only to the extent <br />as an "insured!' uxidor the W.Tio Is An Uikuxedftoaqidon Gontahais'd <br />i,48-ialtw It of the Coverage Form <br />CA ZO 48 02 99 Copyright, Insurance SDrvicoq Office, Inc, IWS Page I of 1 0 <br />