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POLICY NUMBER: WPPI051852 03 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies Insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provislons of the Coverage Form apply unless modi- fied by this endorsement. This endorsement Identifies person(s) or organizations) who are 'Insureds" under the Who Is An Insured Provl- sion of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective: 6/29/2016 Countersigned By: r.. A Named Insured: Caboo Yellow, Inc. Authodzed Representative) SCHEDULE Is of Person(s) or Organlzation(s): of Santa Ana; City Attorney,20 Civic Center Plaza (M-29) Po Box 1988, Santa Ana, CA 92702, The City of :a Ana, 20 Civic Center Plaza, Santa Ana, California 92701; Its officers, employees, agents,volunteers and :aentatives are named as Additional Insured with regard to liability and defense of suits arising from the atlons and uses performed by or on behalf of the named insured. Coverage is primary and noncontributory. REVIEWED BY: EUNICE HEREDIA(PG5F . _. (If no entry appears above, Information required to complete this endorsement will be shown In the Declarations as applicable to the endorsement.) Each person or organization shown In the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured' under the Who Is An Insured Provision contained In Section II of the Coverage Form. CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 ❑