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INSURED: Gladwell Governmental Services, Inc. <br /> POLICY NUMBER: 72UECPT0490 COMMERCIAL AUTOMOBILE <br /> EFFECTIVE DATES: 10/31/2024 to 10/31/2025 HA 99 16 12 21 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> COMMERCIAL AUTOMOBILE BROAD FORM <br /> ENDORSEMENT <br /> This endorsement modifies insurance provided under the following: <br /> BUSINESS AUTO COVERAGE FORM <br /> To the extent that the provisions of this endorsement provide broader benefits to the "insured" than other <br /> provisions of the Coverage Form, the provisions of this endorsement apply. <br /> 1. BROAD FORM INSURED e. Employees as Insureds <br /> Paragraph .1. - WHO IS AN INSURED - of (1). Any "employee" of yours while using a <br /> Section II - Liability Coverage is amended to covered "auto" you don't own, hire or <br /> add the following: borrow in your business or your <br /> d. Subsidiaries and Newly Acquired or personal affairs. <br /> Formed Organizations f. Lessors as Insureds <br /> The Named Insured shown in the (1). The lessor of a covered "auto" while the <br /> Declarations is amended to include: "auto" is leased to you under a written <br /> (1) Any legal business entity other than a agreement if: <br /> partnership or joint venture, formed as a (a) The agreement requires you to <br /> subsidiary in which you have an provide direct primary insurance for <br /> ownership interest of more than 50% on the lessor and <br /> the effective date of the Coverage Form. (b) The "auto" is leased without a <br /> However, the Named Insured does not driver. <br /> include any subsidiary that is an <br /> "insured" under any other automobile Such a leased "auto" will be considered a <br /> policy or would be an "insured" under covered "auto" you own and not a covered <br /> such a policy but for its termination or "auto"you hire. <br /> the exhaustion of its Limit of Insurance. g. Additional Insured if Required by Contract <br /> (2) Any organization that is acquired or (1) When you have agreed, in a written <br /> formed by you and over which you contract or written agreement, that a <br /> maintain majority ownership. However, person or organization be added as an <br /> the Named Insured does not include any additional insured on your business auto <br /> newly formed or acquired organization: policy, such person or organization is an <br /> (a) That is a partnership or joint "insured", but only to the extent such <br /> venture, person or organization is liable for <br /> "bodily injury" or "property damage" <br /> (b) That is an "insured" under any other caused by the conduct of an "insured" <br /> policy, under paragraphs a. or b. of Who Is An <br /> (c) That has exhausted its Limit of Insured with regard to the ownership, <br /> Insurance under any other policy, or maintenance or use of a covered "auto." <br /> (d) 180 days or more after its The insurance afforded to any such <br /> acquisition or formation by you, additional insured applies only if the <br /> unless you have given us notice of "bodily injury" or "property damage" <br /> the acquisition or formation. occurs: <br /> Coverage does not apply to "bodily (a) During the policy period, and <br /> injury" or "property damage" that results (b) Subsequent to the execution of such <br /> from an "accident" that occurred before written contract, and <br /> you formed or acquired the organization. <br /> Form HA 99 16 12 21 Page 1 of 5 <br /> ©2021, The Hartford <br /> (Includes copyrighted material of Insurance Services Office, Inc. with its permission.) <br />