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<br />POLICY NUMBER: C08 160647 <br />COMMERCIAL AUTO <br />CA 20 48 02 99 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />DESIGNATED INSURED <br />This endorsement modifies 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 <br />Coverage Form apply unless modified by this endorsement. <br />This endorsement identifies person(s) or organization(s) who are "insureds" under <br />the Who Is An Insured Provision of the Coverage Form. This endorsement does not <br />alter coverage provided in the Coverage Form. <br />This endorsement changes the policy effective on the inception date of the policy <br />unless another date is indicated below. <br />Endorsement Effective: 08-25-08 Countersigned By: Robert A Harvey <br />Named Insured: Kipco Inc <br />Authorized Representative) <br />SCHEDULE <br />Name of Person(s) or Organization(s): City of Eugene <br />(If no entry appears above, information required to complete this endorsement will <br />be shown in the Declarations as applicable to this endorsement) <br />Each person or organization shown in the Schedule is an "insured" for Liability <br />Coverage, but only to the extent that person or organization qualifies as an <br />"insured" under the Who Is An Insured Provision contained in Section II of the <br />Coverage Form. <br />CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 ^ <br />