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POLICY NUMBER: 810-526D7537 <br />COMMERCIAL AUTO <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />TRUCKERS COVERAGE FORM <br />Paragraph c. of the WHO IS AN INSURED provision 1. No liability is assumed by that <br />includes the person or organization indicated person or organization for the <br />below, but only for his, her or its liability payment of any premiums stated <br />because of acts or omissions of an "insured" in the policy or earned under <br />under paragraphs a. or b. of that provision, the policy. <br />subject to the following additional provisions: <br />Person or organization <br />City of Eugene, their Governing Body <br />Board of Commission and its members and <br />The agencies, officers and employees <br />2. In the event of cancellation of <br />the policy, written notice of <br />cancellation will be mailed by <br />us to that person or organiza- <br />tion. <br />Address <br />99 E Broadway Suite 400 <br />Eugene OR 97401 <br />CA T3 01 02 99 Page 1 of 1 <br />