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POLICY NUMBER: 72 CSE S89302 COMMERCIAL AUTO <br />CA 20 48 10 13 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />DESIGNATED INSURED FOR <br />COVERED AUTOS LIABILITY COVERAGE <br />This endorsement modifies insurance provided under the following: <br />AUTO DEALERS COVERAGE FORM <br />BUSINESS AUTO COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified <br />by this endorsement. <br />This endorsement identifies person(s) or organization(s) who are 'insureds" for Covered Autos Liability Coverage ' <br />under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in s <br />the Coverage Form. <br />This endorsement changes the policy effective on the inception date of the policy unless another date is indicated <br />below. <br />Named Insured: WEST COAST ARBORISTS, INC. <br />Endorsement Effective Date: 07/01/2025 <br />SCHEDULE <br />Name Of Person(s) Or Organization(s): <br />PLEASANT VALLEY RECREATION AND PARK DISTRICT, ITS ELECTED AND APPOINTED OFFICIALS, <br />AGENTS, VOLUNTEERS, AND EMPLOYEES. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />Each person or organization shown in the Schedule is <br />an "insured" for Covered Autos Liability Coverage, but <br />only to the extent that person or organization qualifies <br />as an "insured" under the Who Is An Insured provision <br />contained in Paragraph A.1. of Section II — Covered <br />Autos Liability Coverage in the Business Auto and <br />Motor Carrier Coverage Forms and Paragraph D.2. of <br />Section I — Covered Autos Coverages of the Auto <br />Dealers Coverage Form. <br />r <br />CA 20 4810 13 0 Insurance Services Office, Inc., 2011 <br />Page 1 of 1 <br />