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COMMERCIAL AUTO <br /> CA 20 48 02 99 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> DESIGNATED INSURED <br /> This endorsement modifies insurance provided under the following: <br /> BUSINESS AUTO COVERAGE FORM <br /> GARAGE COVERAGE FORM <br /> MOTOR CARRIER COVERAGE FORM <br /> TRUCKERS 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(s)who are"insureds"under the Who Is An Insured <br /> Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage <br /> Form. <br /> This endorsement changes the policy effective on the inception date of the policy unless another date is <br /> indicated below. <br /> SCHEDULE <br /> Name of Person(s)or Organization(s) : <br /> The City of Decatur and its officers and employees <br /> Each person or organization shown in the Schedule is an"insured"for Liability Coverage, but only to the <br /> extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision <br /> contained in Section II of the Coverage Form. <br /> Primary Wording: <br /> Any person or organization to whom or to which you are required to provide <br /> additional insured status or additional insured status on a primary, non- <br /> contributory basis, in a written contract or written agreement executed prior <br /> to loss, except where such contract or agreement is prohibited by law. <br /> This endorsement is executed by the company designated below: <br /> Zurich American Insurance Company <br /> Effective date 5/1/2011 Expiration Date 6/1/2012 <br /> For attachment to Policy No.'s: BAP938521502 <br /> Issued to: URS Corporation <br /> CA 20 48 02 99 <br /> ©Insurance Services Office,Inc., 1998 <br />