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*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 />