HomeMy WebLinkAbout991127.tiff POLICY NUMBER: CLP31960I
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE RE(AD`IT'CAREFULLY.
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ADDITIONAL INSURED ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL AUTO COVERAGE PART
The provisions of the Coverage Form apply unless modified by this endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is
indicated below.
Named Insured Endo ent effective Number
WILLIES GRAIN INC JUN 1 1999
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GREAT WEST CASUALTY COMPANY
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SCHEDULE
Policy Expiration Date JUNE 1 2000
Name of Additional Insured
COUNTY OF WELD
933 N 11TH AVENUE
GREELEY CO 806M
Described "Auto(s)"
APPLIES TO ALL TRUCKS, TRACTORS, & TRAILERS OWNED,
LEASED, HIRED, RENTED, OR BORROWED WHICH ARE USED
BY THE NAMED INSURED
SECTION II - LIABILITY COVERAGE, paragraph 1. The coverage provided by this endorsement ends
COVERAGE, Subparagraph 1. WHO IS AN INSURED when the Additional Insured is not liable for your
is changed to include as an "Insured" the person conduct or the Policy Expiration Date, whichever
or organization shown in the SCHEDULE on this occurs first.
endorsement only if they are liable for the conduct The Additional Insured shown in the SCHEDULE on
of an "Insured" shown in the WHO IS AN INSURED this endorsement is covered for an amount up to
provisions and only to the extent of that liability. the Limit of Insurance required in an agreement
Coverage provided by this endorsement applies to with you or the policy's Limit of Insurance,
"auto(s)" described in the SCHEDULE on this whichever is less.
endorsement.
CA 49 01 01 97 includes copyrighted material of insurance Services Office,Inc,with its permission Pace 1 of 1
Copyright, Insurance Services Office,Inc, 1986
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