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POL C NUME3ER::�wh,8311nG3-02 <br />C0ful hiERCCIA C A JTZ` <br />:�A 20 48 02 99 <br />- 'r!!S ENW?RSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. <br />DESIGNATED INSURED <br />"pis r; �crser.�ert =s insurance provided under the foilowina: <br />BUSINESS ;14U -7O COVERAGE FORM <br />GARAGE C -X ERA GE FORM <br />MOTOR CARRIER COVERAGE FORM <br />TRJCt'CERS I +iERAGE FORM <br />00th resne .t c v.uvNr<: ,'e proviced by this endorsement, the provisions of the Coverage Fora apply u -Mess rrrc;d `iedd <br />This errdc-scrren— ilw rti"es pe7son(s) or organization(s) who are "insureds`" under the VIho is Ari insured provision of <br />`he Caa°efface', .1is endorsement does not alter coverage provided in the Coverage Form. <br />riffs �r �orser �crr; {;a,r, .�s "he policy effective on the inception date of the policy unless another date s ind sated <br />deiow. <br />_ °dc,rserre.ns ffeC; - Countersigned By: - --- <br />Nar-,-.ed insured: Z!"% ' .iT-:STF iES, NIC- <br />FV^'JSP `i <br />r r C . <br />!Dame of Persor. s cT Organization( <br />f � . <br />SCHEDULE <br />RE: <br />:1f no entry appeFrs ?" �.''i�r, ;nfJrniation required to complete endorsement will be shofar in the Declarations cab <br />=t::;r, shown in the schedu'e is an ''insured" for 1_iabii;ty Coverage, but vnfy to. the extent that <br />or as Em 'insured" under Who, Is An hISUred Provision contained in Section iat the <br />ge <br />". 0 0- 'Z -- COpyri'ght, lirsLr; WICe Services C- ffice, , ;94 <br />