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COMMERCIAL AUTO <br /> POLICY NUMBER: 2091617656 ISSUE DATE: - - <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 /> <br /> With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- <br /> <br /> fied by this endorsement. <br /> This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured- Provi- <br /> sion of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Farm. <br /> SCHEDULE <br /> Name of Person(s) or Organization(s): <br /> City of Eugene <br /> 99 E Broadway, Suite 400 <br /> Eugene, OR 97401 <br /> (If no entry appears above, information required to complete this endorsement will be shown in the Declarations <br /> as applicable to the endorsement.) <br /> Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent <br /> i i n ntained in Section <br /> lif r n he ho In red Prov s o co <br /> <br /> that erson or o anization ua ies as an rnsu ed u der t W Is An su <br /> P r9 q <br /> 11 of the Coverage Form. <br /> CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 <br /> _ <br /> <br />