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Attachment Code:D563844 Certificate ID: 16059509 <br /> Policy Number:72UENOL5481 COMMERCIAL AUTOMOBILE <br /> Policy Term:2/1/2023 to 2/1/2025 HA 99 16 03 12 <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 d. Any"employee"of yours while using a <br /> A. Subsidiaries and Newly Acquired or covered "auto"you don't own, hire or <br /> Formed Organizations borrow in your business or your <br /> The Named Insured shown in the personal affairs. <br /> Declarations is amended to include: C. Lessors as Insureds <br /> (1)Any legal business entity other than a Paragraph A.1.-WHO IS AN INSURED-of <br /> partnership or joint venture,formed as a Section II -Liability Coverage is amended to <br /> subsidiary in which you have an add: <br /> ownership interest of more than 50%on e. The lessor of a covered "auto"while the <br /> the effective date of the Coverage Form. "auto"is leased to you under a written <br /> However,the Named Insured does not agreement if: <br /> include any subsidiary that is an (1)The agreement requires you to <br /> "insured"under any other automobile <br /> policy or would be an "insured" under provide direct primary insurance for <br /> such a policy but for its termination or the lessor and <br /> the exhaustion of its Limit of Insurance. (2)The"auto"is leased without a driver. <br /> (2)Any organization that is acquired or Such a leased"auto"will be considered a <br /> formed by you and over which you covered"auto"you own and not a covered <br /> maintain majority ownership. However, "auto"you hire. <br /> the Named Insured does not include any D. Additional Insured if Required by Contract <br /> newly formed or acquired organization: <br /> (a)That is a partnership or joint (1) Paragraph A.1. -WHO IS AN INSURED <br /> -of Section II -Liability Coverage is <br /> venture, amended to add: <br /> (b)That is an"insured"under any other f. When you have agreed, in a written <br /> policy, contract or written agreement,that a <br /> (c)That has exhausted its Limit of person or organization be added as <br /> Insurance under any other policy, or an additional insured on your <br /> (d) 180 days or more after its business auto policy, such person or <br /> acquisition or formation by you, organization is an "insured", but only <br /> unless you have given us notice of to the extent such person or <br /> the acquisition or formation. organization is liable for"bodily <br /> Coverage does not apply to"bodily injury"or"property damage"caused <br /> injury"or"property damage"that results by the conduct of an "insured" under <br /> from an"accident"that occurred before paragraphs a. or b. of Who Is An <br /> Insured with regard to the <br /> you formed or acquired the organization. ownership, maintenance or use of a <br /> B. Employees as Insureds covered "a\ <br /> Paragraph A.1.-WHO IS AN INSURED-of <br /> „o ,. Risk MQnagemastD(vision :> <br /> SECTION II - LIABILITY COVERAGE is <br /> a.� REVIEWED&APPROVED BY: !'> <br /> amended to add: ;� ,I� ,�';a <br /> A Aettuiti <br /> azimmat <br /> ©2011, The Hartford (Includes copyrighted material ~- Risk Management Specialist "' <br /> Form HA 99 16 03 12 of ISO Properties, Inc., with its permission.) V, <br />