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POLICY NO. BA040000024506 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> Business Auto Broadening Endorsement <br /> This endorsement modifies insurance provided under the following: <br /> BUSINESS AUTO COVERAGE FORM <br /> I. NEWLY ACQUIRED OR FORMED ENTITY(BROAD FORM NAMED INSURED) <br /> 11, E M P LOYEES AS I NS URE DS <br /> III. AUTOMATIC ADDITIONAL INSURED <br /> IV. EMPLOYEE HIRED AUTO LIABILITY <br /> V. SUPPLEMENTARY PAYMENTS <br /> VI. FELLOW EMPLOYEE COVERAGE <br /> VII. ADDITIONAL TRANSPORTATION EXPENSE <br /> Vlll. HIRED AUTO PHYSICAL DAMAGE COVERAGE <br /> IX. ACCIDENTAL AIRBAG DEPLOYMENT COVERAGE <br /> X. LOAN/LEASE GAP COVERAGE <br /> Xi. GLASS REPAIR—DEDUCTIBLE WAIVER <br /> XII. TWO OR MORE DEDUCTIBLES <br /> XIII. AMENDED DUTIES IN EVENT OF ACCIDENT,CLAIM, SUITOR LOSS <br /> XIV. WAIVER OF SUBROGATION <br /> XV, UNINTENTIONAL ERROR, OMISSION, OR FAILURE TO DISCLOSE HAZARDS <br /> XVI. EMPLOYEE HIRED AUTO PHYSICAL DAMAGE <br /> XVII. PRIMARY AND NONCONTRIBUTORY IF REQUIRED BY CONTRACT <br /> XVIII. HIRED AUTO—COVERAGE TERRITORY <br /> XIX. BODILY INJURY REDEFINED TO INCLUDE RESULTANT MENTAL ANGUISH <br /> Copyright 2017 Mercury Insurance Services,I.I.C. All rights reserved. <br /> MCA85100817-CA Includes copyrighted material of Insurance Services Office,Inc.,with its Permission Page 1 of 6 <br />