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ITEM FOUR <br />Schedule Of Hired Or Borrowed Covered Auto Coverage And Premiums <br />Liability Coverage — Cost Of Hire Rating Basis For Autos Used In Your Motor Carrier Operations <br />Other Than Mobile Or Farm Equip ment <br />Estimated Annual <br />Liability Coverage <br />Cost Of Hire For All States <br />Premium <br />Primary Coverage <br />$ SEE SCHEDULE ATTACHED, IF <br />$ <br />APPLICABLE <br />Excess Coverage <br />$ SEE SCHEDULE ATTACHED, IF <br />$ <br />APPLICABLE <br />Total Premium <br />$ <br />For "autos" used in your motor carrier operations, cost of hire means: <br />(a) The total dollar amount of costs you incurred for the hire of automobiles (includes "trailers" and <br />semitrailers), and if not included therein, <br />(b) The total remunerations of all operators and drivers' helpers, of hired automobiles whether hired with a <br />driver by lessor or an "employee" of the lessee, or any other third party, and <br />(c) The total dollar amount of any other costs (i.e., repair, maintenance, fuel, etc.) directly associated with <br />operating the hired automobiles whether such costs are absorbed by the "insured", paid to the lessor or <br />owner, or paid to others. <br />Liability Coverage — Cost of Hire Rating Basis For Autos NOT Used In Your Motor Carrier Operations <br />(Other Than Mobile Or Farm Equipment) <br />Estimated Annual <br />Liability Coverage <br />State <br />Cost Of Hire For Each State <br />Premium <br />Primary Coverage <br />$ SEE SCHEDULE ATTACHED, IF <br />$ <br />APPLICABLE <br />Excess Coverage <br />$ SEE SCHEDULE ATTACHED, IF <br />$ <br />APPLICABLE <br />Total Premium <br />$ <br />For "autos" NOT used in your motor carrier operations, cost of hire means the total amount you incur for the hire <br />of "autos" you don't own (not including "autos" you borrow or rent from your partners or "employees" or their <br />family members). Cost of hire does not include charges for services performed by motor carriers of property or <br />passengers. <br />Page 6 of 13 © Insurance Services Office, Inc., 2009 <br />oR,N F RiskMougementDMslcrn <br />a� REVIEWED & APPROVED BY. <br />`® tq {iceva�o <br />Risk Management Specialist <br />CA DS 03 03 10 0 <br />