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Policy No. 73628813 COMMERCIAL AUTOMOBILE <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT <br /> This endorsement modifies insurance provided under the following: <br /> BUSINESS AUTO COVERAGE FORM borrow in your business or your personal <br /> This endorsement modifies the Business Auto Coverage Form. affairs. <br /> 1. EXTENDED CANCELLATION CONDITION C. Lessors as Insureds <br /> Paragraph A.2.b. - CANCELLATION -of the Paragraph Al.- WHO IS AN INSURED-of <br /> COMMON POLICY CONDITIONS form IL 00 17 is SECTION II - LIABILITY COVERAGE is <br /> deleted and replaced with the following: amended to add the following: <br /> b. 60 days before the effective date of cancellation if e. The lessor of a covered "auto"while the <br /> we cancel for any other reason. "auto" is leased to you under a written <br /> 2. BROAD FORM INSURED agreement if: <br /> A. Subsidiaries and Newly Acquired or Formed (1) The agreement requires you to <br /> Organizations As Insureds provide direct primary insurance for <br /> The Named Insured shown in the Declarations is the lessor; and <br /> amended to include: (2) The"auto" is leased without a driver. <br /> 1. Any legally incorporated subsidiary in which Such leased "auto"will be considered a <br /> you own more than 50% of the voting stock on covered "auto"you own and not a covered <br /> the effective date of the Coverage Form. "auto" you hire. <br /> However, the Named Insured does not include However, the lessor is an "insured" only <br /> any subsidiary that is an "insured"under any for "bodily injury"or"property damage" <br /> other automobile policy or would be an resulting from the acts or omissions by: <br /> "insured" under such a policy but for its 1. You; <br /> termination or the exhaustion of its Limit of 2. Any of your"employees"or agents; <br /> Insurance. or <br /> 2. Any organization that is acquired or formed by 3. Any person, except the lessor or <br /> you and over which you maintain majority any"employee" or agent of the <br /> ownership. However, the Named Insured lessor, operating an "auto" with the <br /> does not include any newly formed or acquired permission of any of 1. and/or 2. <br /> organization: above. <br /> (a)That is an "insured" under any other D. Persons And Organizations As Insureds <br /> automobile policy; Under A Written Insured Contract <br /> (b)That has exhausted its Limit of Insurance Paragraph A.1 - WHO IS AN INSURED - of <br /> under any other policy; or SECTION II - LIABILITY COVERAGE is <br /> (c) 180 days or more after its acquisition or amended to add the following: <br /> formation by you, unless you have given f. Any person or organization with respect to <br /> us written notice of the acquisition or the operation, maintenance or use of a <br /> formation. covered "auto", provided that you and <br /> Coverage does not apply to"bodily injury"or such person or organization have agreed <br /> "property damage"that results from an "accident" under an express provision in a written <br /> that occurred before you formed or acquired the "insured contract", written agreement or a <br /> organization. written permit issued to you by a <br /> B. Employees as Insureds governmental or public authority to add <br /> Paragraph A.1. - WHO IS AN INSURED - of such person or organization to this policy <br /> SECTION II - LIABILITY COVERAGE is amended to as an"insured". <br /> add the following: However, such person or oraanization is <br /> d. Any"employee"of yours while using a an "insured"only\ <br /> o Risle�nstan <br /> covered "auto" you don't own, hire or g'Pl ' <br /> , REVIEWED&APPROVED BY: <br /> `� Risk Management Specialist :c <br /> Form: 16-02-0292 (Rev. 11-16) Pac, <br /> "Includes copyrighted material of Insurance Services Office, Inc. with its permission" <br />