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00 CA0115 00 10 13 Page 1 of 1 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - BLANKET <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 />Under Covered Autos Liability Coverage, the Who is An Insured provision is amended to include as <br />an "insured" the person or organization who is required under a written contract to be included as an <br />"insured" under this policy, but only with respect to their legal liability for your acts or omissions or the act <br />or omissions of a person for whom Covered Autos Liability Coverage is afforded under this policy. <br />All other terms and conditions of this policy remain unchanged. <br /> <br />Endorsement Number: <br />Policy Number: <br />Named Insured: <br />This endorsement is effective on the inception date of this Policy unless otherwise stated herein: <br />Endorsement Effective Date: <br />O'Grady Paving, Inc. <br />71PKG8985003 <br />7/1/2025 <br />86009460 | OGRAPAV-C1 | 25-26 GL Auto WC XS | Daylin Rodriguez | 6/27/2025 3:33:56 PM (PDT) | Page 2 of 11 <br />Docusign Envelope ID: 5619FDA5-F294-4609-A6B6-614BED03B25C