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COMMERCIAL AUTO CA 20 48 02 99 POLICY NUMBER 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 provisions of the Coverage Form apply unless modified by this endorsement. Endorsement Effective Countersigned By Named Insured Authorized Representative SCHEDULE Name of Person s or Organization s 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* Insurance Services Office Inc* 1998. 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 provisions of the Coverage Form apply unless modified by this endorsement. Endorsement Effective Countersigned By Named Insured Authorized Representative SCHEDULE Name of Person s or Organization s If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement. Endorsement Effective Countersigned By Named Insured Authorized Representative SCHEDULE Name of Person s or Organization s 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* Insurance Services Office Inc* 1998. 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 provisions of the Coverage Form apply unless modified by this endorsement. Endorsement Effective Countersigned By Named Insured Authorized Representative SCHEDULE Name of Person s or Organization s 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* Insurance Services Office Inc* 1998. .

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