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• <br /> POLICY NUMBER: COMMERCIAL AUTO <br /> CA 04 03 06 04 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> TEXAS ADDITIONAL WNSwRED <br /> This endorsement modifiaeinsurance 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 modified by <br /> the endorsement. <br /> This endorsement changes the policy effective on the inception date of the policy unless another date is indicated <br /> below. <br /> Endorsement Effective: Countersigned By <br /> Named Insured: <br /> (Authorized Representative) <br /> SCHEDULE <br /> Name and Address of Add|tionmf|newnud:wzza WHOM YOU HAVE A WRITTEN CONTRACT <br /> (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as <br /> applicable to this endorsement.) <br /> A. Who Is An Insured(Section II)is amended to include C. You are authorized to act for the additional insured <br /> as an the person(s) or organization(s) named in the Schedule or Declarations in all matters <br /> shown in the Schedule, but onl with respect 0o1hoir pertaining to this insurance. <br /> legal liability for acts or omissions of a person for D. We will mail the additional insured named in the <br /> whom Liability Coverage is afforded under this <br /> Schedule or Declarations notice of any cancellation <br /> policy. of this policy. If we cancel, we will give 10 days <br /> B. The additional insured named in the Schedule or notice to the additional insured. <br /> Declarations is not required to pay for any premiums G. The additional insured named in the Schedule or <br /> stated in the policy or earned from the policy. Any Declarations will retain any right of recovery as a <br /> return premium and any divid*nd, if applicable, claimant under this policy. <br /> declared by us shall be paid to you. <br /> EMMI <br /> CA 04 03 06 04 Copyright, ISO Properties Inc., 2003 Page 1 of 1 <br />