STAGE PLUS EVENT STAGING SERVICES - 2017

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POLICY NUMBER: 6 8835292 COMMERCIAL AUTO CA 20 48 1013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision 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. Named Insured: STAGE PLUS, INC. Endorsement Effective Date: 0 8— 0 2— 2 01 9 SCHEDULE Name Of Person(s) Or Organization(s): T14E CITY OF SANTA ANA, RISE MANAGMENT, 1OFFICIREIMI'LViEES, AG YSS, AN✓REPRESENT".A`S IVES 20 CIVIC CENTER PI,Z pp SAN �'.i'x ANA, CA SA 92f 0-1 4101-58 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an 'insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section 11 — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Forrn. CA20481013 C Insurance Services Office, Inc„ 2011 REVIEWED & APPROVED By Risk MANAGEMENT DIVISION ,�V�t�Q 02 2019 FRANCINE R. VILLAREAL Page 1 of 1