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TRAVELERS PROPERT ASUALTY COMPANY OF AMERICA <br />~t~~~~ <br />Authorized Signature <br />INSURED: SHAW PIPELINE, INC. COMMERCIAL AUTO <br />POLICY NUMBER: DT810655J9405TIL07 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />DESIGNATED INSURED <br />This endorsement modifies the 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 />Provisions of the Coverage Form. This endorsement does not alter coverage provided in the Coverage <br />Form. <br />SCHEDULE <br />NAME OF PERSON(S) OR ORGANIZATION(S): THE CITY OF REDWOOD CITY, ITS <br />COUNCIL MEMBERS, OFFICERS, BOARDS, COMMISSIONS, EMPLOYEES AND AGENTS. <br />PROJECT/LOCATION OF COVERED OPERATIONS: REDWOOD CITY RECYCLED <br />WATER PROJECT -PHASE I. REDWOOD SHORES DISTRIBUTION SYSTEM. BID <br />PACKAGE 4 (REDWOOD SHORES PARKWAY, AIRPORT, SKYWAY ROAD, TWIN <br />DOLPHIN DRIVE, ELECTRONIC ARTS DRIVE). <br />Any person or organization that you are required to include as an additional insured on this Coverage Form <br />in a written contract or agreement that is signed and executed by you before the "bodily injury" or "property <br />damage" occurs and that is in effect during the policy period. <br />(If no entry appears above, information require to complete this endorsement will be shown in the <br />Declarations as applicable to the endorsement.) <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 />CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 <br />