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Policy No. BA4887N564 <br />Policy Period 05123/2016-05/23/2017 <br />COMMERCIALAUTO <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <br />BLANKET ADDITIONAL INSURED <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />TRUCKERS COVERAGE FORM <br />With respect to coverage provided by this endorse- <br />ment, the provisions of the Coverage Form apply <br />unless modified bythe endorsement. <br />The following is added to the Section II - Liability <br />Coverage, Paragraph A.1. Who Is An Insured Pro- <br />vision: <br />Any person or organization that you are required to <br />include as additional insured on the Coverage Form in <br />a written contract or agreement that is signed and <br />executed by you before the "bodily injury" or "property <br />damage" occurs and that is in effect during the policy <br />period is an 'insured" for Liability Coverage, but only <br />for damages to which this insurance applies and only <br />to the extent that person or organization qualifies as <br />an "insured" under the Who Is An Insured provision <br />contained in Section f. <br />CA T4 37 08 08 0 2008 The Travelers Companies, Inc. Page i of 1 <br />