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<br />POLICY NUMBER: <br /> <br />CA8263365 <br /> <br />COMMERCIAL AUTO <br />CA 20 48 02 99 <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />DESIGNATED INSURED <br /> <br />This endorsement modifies insurance provided under the following: <br /> <br />BUSINESS AUTO COVERAGE FORM <br />GARAGE COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />TRUCKERS COVERAGE FORM <br /> <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless <br />modified by this endorsement. <br /> <br />This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured <br />Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage <br />Form. <br /> <br />This endorsement changes the policy effective on the inception date of the policy unless another date is <br />indicated below. <br /> <br />Endorsement Effective: 8/22/2009 Countersigned By: <br />Named Insured: C\~ ~~ <br />Spiess Construction Co., Inc. <br /> (Authorized Representative) <br /> <br />SCHEDULE <br /> <br />Name of Person(s) or Organization(s) : <br />City of Redwood City and South Bayside System Authority, its Council members, commissions, committees, <br />boards, officers, employees, and agents <br /> <br />(If no entry appears above, information required to complete this endorsement will be shown in the <br />Declarations as applicable to the endorsement. ) <br /> <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 /> <br />CA 20 48 02 99 <br /> <br />@ Insurance Services Office, Inc., 1998 <br />