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BA040000014016 <br />ARCHIE'S ICE CREAM A CA BUSINESS TRUST <br />Effective Date: 04/15/2026 <br />Additional Coverages & Provisions <br />Important Notice <br />Warning Minimum Limits: In some cases, the policy affords only minimum limits of liability for bodily injury and property damage as specified by the <br />compulsory or financial responsibility law of the jurisdiction where the loss occurred. Such minimum limits may be less than the stated policy limits. <br />Please review Undisclosed Driver Liability Limits selection to confirm the intended limits for undisclosed drivers is selected. <br />For your protection, California law requires the following to appear on this form: Any person who knowingly presents false or fraudulent <br />information to obtain or amend insurance coverage or to make a claim for the payment of a loss is guilty of a crime and may be subject to <br />fines and confinement in state prison. <br />Premium must be paid in United States dollars, and in a form acceptable to the company. See the Payment Options page on our website for details. <br />Discounts <br />Personal Auto Policy <br />Policy Forms <br />MCA CACC O8 23 - Common Policy Conditions <br />................................................................................................................................ <br />MCA CABA O8 23 - Business Auto Coverage Form <br />................................................................................................................................ <br />IL N 119 10 15 - California Auto Body Repair Consumer Bill of Rights <br />................................................................................................................................ <br />MCA CABE O8 23 - Mercury Broadening Endorsement <br />................................................................................................................................ <br />MCA 04 44 09 13 - Blanket Waiver of Subrogation <br />................................................................................................................................ <br />MCA 20 48 07 11 - Blanket Additional Insured <br />MCA MSUD 06 25 - Undisclosed Drivers Liability Limits Selection Form <br />..................................................................................................................................................... . <br />MCA CAUB O8 23 - California Uninsured Motorists - Bodily Injury <br />..................................................................................................................................................... . <br />MCA CAUP O8 23 - California Uninsured Motorists Coverage - Property Damage <br />..................................................................................................................................................... . <br />MCA CADW O8 23 - California Changes - Waiver of Collision Deductible <br />..................................................................................................................................................... . <br />MCA CAEX O8 23 - CA Expanded Driver Coverage <br />CABADEC 0625 Page 4 of 4 <br />