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POLICY NUMBER: 25CC36185140 COMMERCIAL AUTO <br /> CA 20 48 42.99 <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 organizationfs) who are 'insureds'under the Who Is An Insured <br /> Provision of the Coverage Form.This endorsement does not alter coverage provided n the Coverage Form. <br /> This endorsement changes the polcy effective on the inception date of the policy unless another date is <br /> indicated below. <br /> SCHEDULE <br /> Name of Persork(s)or Organization(s): <br /> City of Everett, its officers, employees and agents <br /> (If no entry appears above, nformotion required to complete this endorsement will be shown in the <br /> Declarations as applicable to the endorsement) <br /> Each person or organizat .n shown n the Schedule is an"insured" for Ltablity Coverage, but only to the <br /> extent that person or organzation qualifies as an"Insured'under the Who is An Insured Provision contained <br /> In Section It of the Coverage Form. <br /> CA 20 48 02 99 Copyright, Insurance Services Office.Inc. 1998 <br />