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POLICY NUMBER: PSA0001203 <br />COMMERCIAL AUTO <br />CA 20 48 10 13 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />DESIGNATED INSURED FOR <br />COVERED AUTOS LIABILITY COVERAGE <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 this endorsement. <br />This endorsement identifies person(s) or organization($) who are "insureds" for Covered Autos Liability Coverage <br />under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage <br />provided in the Coverage Form. <br />This endorsement changes the policy effective on the inception date of the policy unless another date is indicated <br />below. <br />Named insured: D. Woolley&Associates, Inc.; <br />Harbinger Analytics Group <br />Endorsement Effective Date: 2/11/2017 <br />Name Of Person(s) Or Organlzation(s): <br />City of Santa Ana, its officers and employees <br />Information required to complete this Schedule, if not shown above will be shown in the Declarations. <br />Each person or organization shown in the Schedule is <br />an "insured" for Covered Autos Liability Coverage, but <br />only to the extent that person or organization qualifies <br />as an "insured" under the Who Is An Insured <br />provision contained in Paragraph A.I. of Section II — <br />Covered Autos Liability Coverage in the Business <br />Auto and Motor Carrier Coverage Forms and <br />Paragraph D.2, of Section I — Covered Autos <br />Coverages of the Auto Dealers Coverage Form. <br />CA 20 48 1013 © Insurance Services Office, Inc., 2011 Page 1 of 1 <br />36690218 12/17-10 GL/AUT9/9XCG59/WC/PL I (AVC) Betty Tran 1 9/14/2017 9130:49 AM (PVP) I Page 3 of 9 <br />REVIEWED BY: _ _ _ ` EUNICE HEREDIA (PG,f>OF j) <br />