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,LINDE INSURANCE 3603365787 03/02 '07 13:06 NO.969 03/03 <br /> .� <br /> CHANGE NO. 00 <br /> POLICY NUMBER: CP00030982 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 resect to coverage provided by this endorsement,the provisions of the Coverage Form apply unless modi- <br /> fied by ths endorsement. <br /> This endorsement identifies person(s) or organizations)who are "insureds" under the Who is An insured Provi- <br /> sion of the Coverage Form.This endorsement does not after coverage provided in the Coverage Form. <br /> This endorsement changes the policy effective on the inception date of the policy unless another date is indi- <br /> cated below. <br /> Endorsement Effective: 04/18/2007 Countersigned By: <br /> Named I insured: <br /> MARK HITCHCOCK (Authorized Representative) <br /> SCHEDULE <br /> Name of Person(s)or Organization(s): <br /> I TY OF EVERETT <br /> ATTN: JAMES W MILLER <br /> 200 CEDAR ST <br /> VERETT WA 98201 <br /> (If no entry appears above, information required to complete this endorsement will be shown in the Declarations <br /> as applicable to the endorsement.) <br /> Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent <br /> that person or organization qualities as an "insured" under the Who Is An Insured Provision contained <br /> In Section ii of the Coverage Form. <br /> 75 <br /> CA 20 4 02 99 Copyright, Insurance Services Office, inc., 1993 Page 1 of 1 I <br />