*S1*0521523 GREAT AMERICAN ALLIANCE INSURANCE COMPANY
<br />*D/B* 058909113 253316
<br />* S1 * 0521523 GREATAMERICAN ALLIANCE INSURANCE COMPANY
<br />*D/B* 058909113 253316
<br />CA 86 20 (Ed. 05/16)
<br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
<br />SIGNATURE BUSINESS AUTO BROADENING ENDORSEMENT
<br />This endorsement modifies insurance provided under the following form'.
<br />BUSINESS AUTO COVERAGE FORM
<br />To the extent that the provisions of this endorsement provide broader benefits to the "insured" than
<br />other provisions of the policy, the provisions of this endorsement apply.
<br />This is s
<br />mary of the v additional coverages and coverage modifications provided by this
<br />endorsementmFor complete details on specific coverages, consult the actual policy wording.
<br />Coverage
<br />Limit of Insurance
<br />Page
<br />Who is an Insured - Employees, Partners, Members,
<br />Volunteers and Board Members
<br />Included
<br />2
<br />Automatic Additional Insureds - By Contract and Primary and
<br />Non -Contributory Provision
<br />Included
<br />2
<br />Leased Auto Coverage
<br />Included
<br />3
<br />Owned Subsidiaries and Newly Acquired or Formed
<br />Organizations
<br />Included
<br />4
<br />Supplementary Payments - Bail Bonds
<br />$5,000
<br />4
<br />Supplementary Payments - Loss of Earnings
<br />$1,000 per day
<br />4
<br />Fellow Employee
<br />Included
<br />5
<br />Physical Damage Coverage Extensions - Towing
<br />$200 - any auto
<br />5
<br />Physical Damage Coverage Extensions - Glass Breakage
<br />No Deductible
<br />5
<br />Physical Damage Coverage Extensions - Transportation
<br />Expenses
<br />$100 per day, $3,000 max
<br />5
<br />Hired Auto Physical Damage Coverage
<br />$100 per day, $3,000 max
<br />5
<br />Total Theft of a Covered Auto
<br />$500 - personal items, $1,000 -
<br />nable expenses
<br />reasonable
<br />toreturn stolen auto
<br />6
<br />Auto Loan / Lease Gap Protection
<br />Included
<br />6
<br />Customization Coverage
<br />$2,000
<br />7
<br />CA 86 20 (Ed. 05/16) (Page 1 of 9)
<br />*S1*0521523 GREAT AMERICAN ALLIANCE INSURANCE COMPANY
<br />*D/B* 058909113 253316
<br />(2) signed by all parties prior to the "accident."
<br />This person or organization is an Additional Insured only to the extent you are liable for a
<br />"accident" caused, in whole or in part, by the use of a covered "auto' being driven by you or any
<br />"insured " However,
<br />a. the insurance afforded to such Additional Insured only applies to the extent permitted by law',
<br />and
<br />It. if coverage provided to the Additional Insured is required by a written contract or written
<br />agreement, the insurance
<br />afforded to such Additional Insured will not be broader than that
<br />which you a required by the written contract or written agreement to provide for such
<br />Additional Insured.
<br />With respect to insurance provided to an Additional Insured the following provisions apply'.
<br />a. This insurance is primary to and will not seek contribution from any other insurance available to
<br />an Additional Insured under your policy provided that.
<br />(1) The Additional Insured is a Named Insured under such other insurance', and
<br />(2) You have agreed in writing in a contract or agreement that this insurance would be primary
<br />and would not seek contribution from any other insurance available to the Additional
<br />Insured.
<br />It. When a written contract or written agreement does not require this insurance to be primary or
<br />primary and non-contributory, this insurance is excess over any other insurance for which the
<br />Additional Insured is designated as a Named Insured.
<br />c. Regardless of the written contract or written agreement between you and an Additional Insured,
<br />this insurance is
<br />excess e
<br />any other in whether primary, a contingent o any
<br />other basis for whichthe Additional Insured insurance
<br />sbeen added as an additional insured on other
<br />policies.
<br />d. If coverage provided to the additional insured is required by a written contract or written
<br />agreement, the most we will pay on behalf of the additional insured is the amount of insurance'.
<br />(1) Required by the written contract or written agreement, or
<br />(2) Available under the applicable Limits of Insurance show in the Declarations',
<br />whichever is less.
<br />C. LEASED AUTO COVERAGE
<br />With respect to insurance provided to an Additional Insured who is a lessor of a "leased auto' the
<br />following provisionsapply'.
<br />SECTION II - COVERED AUTOS LIABILITY COVERAGE, A. Coverage is amended by adding the
<br />following'.
<br />Any "leased auto' designated or described in the Schedule will be considered a covered "auto' you
<br />own and not covered "auto" you hire or borrow.
<br />For a covered "auto' that is a "leased auto' Who Is An Insured is changed to include as an "Insured"
<br />the lessor.
<br />The coverages provided under this endorsement apply to any "leased auto' described in the
<br />CA 86 20 (Ed. 05/16) (Page 3 of 9)
<br />Coverage
<br />Limit of Insurance
<br />Page
<br />Newly Acquired Owned Autos and Donated Autos Physical
<br />Damage Coverage
<br />$100,000
<br />7
<br />Rental Reimbursement Coverage
<br />$100 per day up to 30 days
<br />8
<br />$500 for re nable expenses to
<br />remove and replace your materials
<br />and equipment
<br />8
<br />Accidental Discharge - Airbag Coverage
<br />Included
<br />8
<br />Original Equipment Manufacturer OEM Part Replacement
<br />Included
<br />8
<br />Multiple Deductibles
<br />Included
<br />8
<br />Notice and Knowledge of Occurrence - Duties in the Event of
<br />Accident, Claim, Suit or Loss
<br />Included
<br />8
<br />Blanket Waiver of Subrogation By Written Contract
<br />Included
<br />9
<br />Unintentional Failure to Disclose Hazards
<br />Included
<br />9
<br />Mental Anguish
<br />Included
<br />9
<br />A. WHO IS AN INSURED - EMPLOYEES, PARTNERS, MEMBERS, VOLUNTEERS AND BOARD
<br />MEMBERS
<br />SECTION II - COVERED AUTOS LIABILITY COVERAGE, A. 1. Who is An Insured is amended by
<br />adding the following'.
<br />d. Any "employee', partner or member of yours while using a covered "auto' you don't own, hire
<br />or borrow in your business or your personal affairs.
<br />e. Anyone volunteering services to you while using a covered "auto' you don't own, hire o
<br />borrow in activities necessary to your business. Anyone else who furnishes that "auto" is also an
<br />"insured".
<br />f. Board members (or their spouses) while renting a vehicle while on business for the named
<br />insured.
<br />B. AUTOMATIC ADDITIONAL INSUREDS - BY CONTRACT AND PRIMARY AND
<br />NON-CONTRIBUTORY PROVISION
<br />SECTION II - COVERED AUTOS LIABILITY COVERAGE, A. 1. Who is An Insured is amended to
<br />include as an Insured any person or organization whom you are required to add as an Additional
<br />Insured on this policy under'.
<br />a. a written contract or written agreement'.
<br />(1) in effect on the date of the "accident and
<br />CA 86 20 (Ed. 05/16) (Page 2 of 9)
<br />*S1 *0521523 GREAT AMERICAN ALLIANCE INSURANCE COMPANY
<br />*D/B* 058909113 253316
<br />Schedule until the expiration date shown in the Schedule, o when the lessor or his or her agent
<br />takes possession of the "leased auto," whichever occurs firsts
<br />SECTION IV - BUSINESS AUTO CONDITIONS, A.4. Loss Payment - Physical Damage
<br />Coverages is amended by adding the following'.
<br />a. We will pay, as interest may appear, you and the lessor for "loss" to a "leased auto."
<br />It. The insurance covers the interest of the lessor unless the "loss" results from fraudulent acts or
<br />omissions on your part.
<br />c. If we make any payment to the lessor, we will obtain his or her rights against any other party.
<br />SECTION V - DEFINITIONS is amended by adding the following definition'.
<br />"Leased auto" means any "auto" leased or rented to you including any substitute, replacement o
<br />extra "auto' neededto meet seasonal or other needs, under a leasing or rental agreement that
<br />requires you to provide direct primary insurance for the lessor.
<br />D. OWNED SUBSIDIARIES AND NEWLY ACQUIRED OR FORMED ORGANIZATIONS
<br />SECTION II - COVERED AUTOS LIABILITY COVERAGE, A. 1. Who is An Insured is amended by
<br />adding the following'.
<br />The following are "insureds
<br />a. Any subsidiary which is a legally incorporated entity of which you maintain ownership or
<br />majority interest on the effective date of this Coverage Form except.
<br />(1) Any subsidiary that is an insured under any other automobile liability policy.
<br />(2) Any subsidiary which would be an insured under any other automobile liability policy but for
<br />the termination of such policy or exhaustion of such policy's Limits of Insurance.
<br />It. Any organization you newly acquire or form, and in which you maintain ownership or majority
<br />interest, but only for the period beginning when you first maintained majority interest until the
<br />end of the policy period of this Coverage Form, or the next anniversary of the inception date
<br />of this Coverage From, whichever is earlier. However, the newly acquired or formed
<br />organization is not an "Insured
<br />(1) For "bodily injury" or "property damage' resulting from an "accident" that occurred before
<br />you acquired or formed the organization.
<br />(2) If it is an insured under any other automobile liability policy or would be an insured under
<br />any other automobile liability policy but for the termination of such policy or exhaustion of
<br />such policy's Limits of Insurance.
<br />E. SUPPLEMENTARY PAYMENTS
<br />SECTION II - COVERED AUTOS LIABILITY COVERAGE, A.2.a.(2) is deleted and replaced with the
<br />following'.
<br />(2) Up to $5,000 for cost of bail bonds (in
<br />because of an "accident" we cover. We
<br />SECTION II - COVERED AUTOS LIABILITY .±o^" RISK Mamiganerd DhisioR
<br />following'. r� e o
<br />REVIEWED & APPROVED BY:
<br />e Aeevaa
<br />CA 86 20 (Ed. 05/16) (Pay I �—"� Risk Management Specialist
<br />
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