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033201700000100407 <br /> POLICY NUMBER AS2-681-004088-037 COW ERC1AL 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 modes 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 identifies person(s) or organization(s) who are 'insureds" for Covered Autos Liability Coverage <br /> under the Who Is An Insured provision of the Coverage Farm. This endorsement does not alter coverage <br /> provided in the Coverage Form. <br /> SCHEDULE <br /> Name Of Persons)Or O anization(s); <br /> Any person or organization where the named insured has agreed by <br /> written contract to include such person or organization as a <br /> designated insured. <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 provision <br /> contained in Paragraph A.1. of Section 11 - Covered <br /> Autos Liability Coverage in the Business Actio and <br /> Motor Carrier Coverage Fors and Paragraph D.2.of <br /> Section i - Covered Autos Coverages of the Auto <br /> Dealers Coverage Form. <br /> CA 20 48 10 13 0 Insurance Services Office, Inc., 2011 Page 1 of 1 <br />