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POLICY NUMBER: 810-2N338740-21-14-G
<br />COMMERCIAL AUTO
<br />This endoirsernenil rnodiifies insurance provided under the folllcming:
<br />BUSINESS AUT01 COVERAG31H FORM!
<br />GENERAL DESCRIPTION OF COVERAGE This endorsement birciadens coverage, IHowwaever, coveiragie for any
<br />injury" clarnage or medical expenses described in, any, of the provisions of this, endorsement imiaiy be excluded or
<br />himlited y another endorsement to the Goverage Part, and these cloverage broadienflIg PrWiSlOrrs do inot apply to
<br />the extent thiat coverage is excluded or himited by SlUch an endorsernent The following listing its a general cciver-
<br />age description only. Untitabons and exclusions may apply to these coverages. Read all the provisions of this en-
<br />dorsement and the rest of your policy carefully to delerrnine rights, duties, and what is and is not covered
<br />ABROAD FORM NAMED IINSURIED
<br />B, BLANKET ADDITIONAL INSURED
<br />C. EMPLOYEE HIRED AUTO
<br />D, EMPLOYEES AS INSURED
<br />ESUPPLEMENTARY PAYMENTS — INCREASED
<br />LIMITS
<br />F, HIRED AUTO — LIMITIED WORLDWIDE COV-
<br />Eeh,Q5_—WAD&ru1VtTY BA-SIS—
<br />PROVISIONS
<br />A. BROAD FORM NAMED INSURED
<br />The following is added to, Paragraph A.I., Who Is
<br />An Insured, of SECTION II —COVE ED AUTOS
<br />LIAIML11TY COVERAGE:
<br />Any organi7a(min youi newly acquiire or form dur-
<br />ing the poky period over which you maintain
<br />50% or more ownership interest and that is not
<br />separately insured for Business Auto Coverage.
<br />Coverage under this prowsion is afforded only Lin-
<br />ht the 1 80th: day after you acquire or form the
<br />ganization or the end of the policy period, which-
<br />ever jr, eadierr.
<br />The Wlowing is added to Paragraph c. in AA.,
<br />Who Iles An, Insured, of SECTION 1111 — COVERED
<br />AUTOS LIABILITY COVERAGE
<br />Any, person or organization who is req uiredl under
<br />a written contract or agreement between, you and
<br />that person or organization, that is signed and
<br />executed by you before the "boddy injury" or
<br />'property darriage" occurs anid that is in effect
<br />during the policy period, to be named as, an addi-
<br />hanall instired is an insured" for Covered Autos
<br />Liability Coverage, fiat only for darnages to which
<br />R. AIRED AUTO PAITSICAL DAMAGE — LOSS 07
<br />INCREASED L11MIT
<br />1. PHYSICAL DAMAGE — TRANSPORTATION
<br />EXPENSES —INCREASED ILIMIIT
<br />J. PERSONAL PROPERTY
<br />K. AIRBAGS
<br />LNOTICE AND KNOWLEDGE OF ACCIIDIENT OiIR
<br />LOiSS
<br />M. BLAINKET WA11VER OF SUBIROGATIOIN
<br />N. UNINTENTIONAL ERRORS OR OMISSIONS
<br />this insurance applies and only to Pie extent that
<br />person cur organization qualifies as an `11111fUred"
<br />under the Who Is An linslured provision containied
<br />in Section 1111.
<br />11. The fc)llowing is added to Paragraph A.1.,
<br />Who Is An Inslured, of SECTION III — COV-
<br />ERED AUTOS LIABILITY COVERAGE,
<br />An "employee" of yoijrs lis an "insiured" whiille
<br />operating an "auto" hived or rented under a
<br />contract or wagreernent In an "erriployee's"
<br />riame, witl) your permission, white performing
<br />duties, related to tine conduct of your busi-
<br />ness.
<br />2. The following replaces paragraph b. in B.S.,
<br />Other Insurance, of SECTION IV — BUSI-
<br />NESS AUTO CONDITIONS:
<br />b. For Hired Auto Physical Daniage Cover-
<br />age, the following are deemed to be clov-
<br />ered "autos" you owm
<br />(11) Any covered "autio"' you lease, hire,
<br />rent or borrow, and
<br />(2) Any covered "auto" hired or rented by'
<br />your "emplioyee" under a, contract it)
<br />an "erriployee's" natine, With Your
<br />CA T3 53 02 115 0 015 The TraMeirS jrjc@ryirjjiy Ccjj�fvany, AN f ights reserver , Page III of 4
<br />IMJUdjes copynghied materal of in Seroces Office, Inc, mth its permiSSk)R
<br />RA Mumiganad Dhisian
<br />S 'Q REVIEWED & APPROVED BY.
<br />eeev
<br />,!RIP , �w , A4+Aaa
<br />tManagemenSpecialist
<br />
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