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BUSINESS AUTO COVERAGE FORM <br />NEWLYACQUIRED OR FORMED ENTITY (Broad Form Named Insured) <br />SECTION II - LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured, the following is added: <br />d. Any business entity newly acquired or formed by you during the policy period <br />provided you own 50%or more of the business entityand the business entity is not <br />separately insured for Business Auto Coverage. Coverage is extended up to a <br />maximum of 180 days following acquisition or formation of the business entity. <br />Coverage under this provision is afforded only until the end of the policy period. <br />Coverage does not apply to an "accident" which occurred before you acquired or <br />formed the organization. <br />II. EMPLOYEES AS INSUREDS <br />SECTION II - LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured, the following is added: <br />e. Any "employee" of yours is an "insured" while using a covered "auto" you don't <br />own, hire or borrow in your business or your personal affairs. <br />III. AUTOMATIC ADDITIONAL INSURED <br />SECTION II- LIABI LITY COVERAGE, A. Coverage, 1. Who Is An Insured, the following is added: <br />f. Any person or organization that you a re required to include as additiona I insured on <br />the Coverage Form in a written contract or agreement that is signed and executed <br />by you before the "bodily injury" or "property damage" occurs and that is in effect <br />during the policy period is an "insured" for Liability Coverage, but only for damages <br />to which this insurance applies and only to the extent that person or organization <br />qualifies as an "insured" under the Who Is An Insured provision contained in <br />Section II. <br />IV. EMPLOYEE HIRED AUTO LIABILITY <br />SECTION I I - LIABI LITY COVERAGE, A. Coverage, 1. Who Is An I nsured, the following is added: <br />g. An "employee" of yours is an "insured" while operating an "auto" hired or rented <br />under a contract or agreement in that "employee's" name, with your permission, <br />while performing duties related to the conduct of your business. <br />V. SUPPLEMENTARY PAYMENTS <br />SECTION II— LIABILITYCOVERAGE,A. Coverage, 2. Coverage Extensions, a. Supplementary <br />Payments, Subparagraphs (2) and (4) are replaced by the following: <br />(2) Up to $3,000 for cost of bail bonds (including bonds for relatecitraffic law <br />violations) required because of an"accident" we cover. We are not obligated to <br />furnish these bonds. <br />(4) All reasonable expenses incurred bythe "insured" at our request, including <br />actual loss of earnings up to $500 a day because of time off from work. <br />,e „ce RIakM�agenlmtDivician _ <br />Copyright 2017 Mercury Insurance Services, LLC. All rights reserved. RenEwED&APPROVED BY: <br />MCA85300817{A Includes copyrighted material of Insurance Services Office, Inc., with its Penis <br />Risk Management specialist <br />