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OCEAN BLUE ENVIRONMENTAL A- 2013 - 115 -02 REVIEWED BY; `EUNICE MEREDIA (PG 12 OF 16) <br />POLICY NUMBER: SISIPCA08268415 <br />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 bate: 7/1/2015 <br />SCHEDULE <br />Insurance Company: Starr Indemnity & Liability Company <br />Pollcy Number: SISIPCA08268415 <br />Effective Date: 7/112095 <br />Expiration Date: 7/1/2018 <br />Named Insured: Ocean Blue Environmental Services, Inc <br />Address: 925 West Esther Street <br />Lang Beach, CA 90813 <br />Additional Insured (Lessor): Blanket where required by a written contract. <br />Address: Blanket whore 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 O Insurance Services Office, Inc., 2011 page 1 of 2 <br />