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CHAKE NO. 00 <br />POUGY NUMBER- CP0036982 COMMERC,IALAUTO <br />CA 20-48.0 99 <br />THISENDDRSEMENT CHANGES THE POLICY. PLFASE READ FF CAREFULLY. <br />DESI . GNATIED . INSURED <br />This erdumment mocrifies'Insurance provided under the f0150YAng: <br />BUSINESS AUTO COVERAGE FORM <br />GARAGE Cf?RAGEFORM: <br />hTOTOR CARRIER COVERAGE FORM <br />TRUGKERS OOVERAGE F0FM <br />Wdh respe(d. 10 cove riage pravided byth is eradrrwno enit, the pro vEMoffi of the Owerage Form apO[y unba-sas M.Odi- <br />ried by1fiis eudwsenaenL <br />ThLs . endwso . ftwt1dentiflesperson(sor m: en fd <br />km(,,;) vitio are "iasureds7 undEw the Who Is An Irt5ur.W. Provi- <br />sion of the Covemne- Fwm. Mats fmdmernara does n6t alter covip_rqyR provided in the Guv.er2Qe Fogn- <br />Th! . & e rKI g ps-emn rit.. ch. atiges the pal iry - e ffecUve on t W 1 n M pri 0 (1 dater .Of lhe.PD!ICY U ni essa rwft. e r 4,6te. is [in f I <br />calodb&aw- <br />Encomernent Effecrive: 04/18,12010 IODunter*ned By: <br />Maimed Inswed-._ <br />WARK HTa=C.K <br />SCHEDULE <br />N ame of 'Pews on (�) or 0 mg a ftG�ati on (M). <br />CITY OF fVERETT <br />324DO CEDAR ST <br />I EVRETT Wik 98,21-01 <br />Q.f w) enhy appears m above, fnfomatiDn. reqfired to munprele Inis enOerawt mllbe -own- <br />in the. 0aciarail7arts <br />as -applicable to the endamement.), <br />Each pemon (w ocganization shomi in the. Schedule is an —irwu m-cr for Uatfifity cove pe, but only to 11w ExIant <br />Rtal porson or organfw1jon . qualifies as .211 urder the. Mo r5 An, insurea Provisloo cont.a.ined <br />in Section 11 of the Cc.i� �_- a Form.. <br />CA 20 48 02 SS Cvpyf[qhti Irg <br />.5urArtca's"ces Office. 1998 Page 1,of 1 0 <br />