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POLICY NUMBER: <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 COVEMGE FORM <br />BUSINESS AUTO COVERAGE FORM <br />MOTOR CARRI ER 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" for Covered Autos Liability Coverage <br />under the Who ls An lnsured 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 lnsured: <br />Endorsement Efiective Date: <br />SCHEDULE <br />Narrc Of Person(s) Or Organization(s): <br />ANY PARTY V\]ITH hlHlCH THE INSUREI] I]OES BUSITIESS }{HEN REQUIRED BY A <br />h]RITTEN AGREEMENT EXECUTED PRIOR TO A LOSS. <br />lnformation 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 Govered Autos Liability Coverage, but <br />only to theextent that person or organization qualifies <br />as an "insured" under the Wro ls An lnsured <br />provision contained in Paragraph A.1, of Section ll - <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 />@ lnsurance Services Office, lnc., 201 '1 <br />PrcLlu@r Copy <br />COMMERCIAL AUTO <br />cA 20 48 10 13 <br />cA20 48 10 13 Page I of1