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POLICY NUMBER: BA040000014964 <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 />II. EMPLOYEES AS INSUREDS <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 />VIII, HIRED AUTO PHYSICAL DAMAGE COVERAGE <br />IX. ACCIDENTAL AIRBAG DEPLOYMENT COVERAGE <br />X. LOAN/LEASE GAP COVERAGE <br />XI. GLASS REPAIR —DEDUCTIBLE WAIVER <br />XI I. TWO OR MORE DEDUCTIBLES <br />XIII, AMENDED DUTIES IN EVENT OF ACCIDENT, CLAIM, SUIT OR 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 />XVIIL HIRED AUTO— COVERAGE TERRITORY <br />XIX, BODILY INJURY REDEFINED TO INCLUDE RESULTANT MENTAL ANGUISH <br />Copyright 2017 Mercury Insurance Services, LLC. All rights reserved. <br />MCA85100817-CA Includes copyrighted material of Insurance Services Office, Inc., with Its Permission of 5 <br />'RCV <br />� c il <br />Risk Management Division <br />