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BUSINESS AUTO COVERAGE FORM <br /> I. NEWLY ACQUIRED OR FORMED ENTITY(Broad Form Named Insured) <br /> SECTION II-LIABILITYCOVERAGE,A. Coverage, I.Who Is An Insured, the following is added: <br /> d. Any business entity newly acquired or formed by you during the policy period <br /> provided you own 50%or more of the business entity and the business entity is not <br /> separately insured for Business Auto Coverage. Coverage is extended up to a <br /> maximum of 180 days following acquisition or formation of the business entity. <br /> Coverage under this provision is afforded only until the end of the policy period. <br /> Coverage does not apply to an"accident"which occurred before you acquired or <br /> formed the organization. <br /> II. EMPLOYEESAS INSUREDS <br /> SECTION II- LIABILITY COVERAGE,A. Coverage, 1.Who Is An Insured, the following is added: <br /> e. Any "employee"of yours is an "insured" while using a covered "auto"you don't <br /> own, hire or borrow in your business or your personal affairs. <br /> III. AUTOMATIC ADDITIONAL INSURED <br /> SECTION II- LIABILITY COVERAGE,A. Coverage, 1.Who Is An Insured, the following is added: <br /> f. Any person or organization that you are required to include as additional insured on <br /> the Coverage Form in a written contract or agreement that is signed and executed <br /> by you before the "bodily injury" or "property damage"occurs and that is in effect <br /> during the policy period is an "insured"for Liability Coverage, but only for damages <br /> to which this insurance applies and only to the extent that person or organization <br /> qualifies as an "insured" under the Who Is An Insured provision contained in <br /> Section II. <br /> IV. EMPLOYEE HIREDAUTO LIABILITY <br /> SECTION II- LIABILITY COVERAGE,A.Coverage, 1.WholsAn Insured, thefollowing is added: <br /> g. An "employee" of yours is an "insured" while operating an "auto" hired or rented <br /> under a contract or agreement in that "employee's" name, with your permission, <br /> while performing duties related to the conduct of your business. <br /> V. SUPPLEMENTARY PAYMENTS <br /> SECTION II—LIABILITYCOVERAGE,A. Coverage, 2. Coverage Extensions,a. Supplementary <br /> Payments,Subparagraphs(2) and (4) are replaced by the following: <br /> (2) Up to$3,000for cost of bail bonds (including bonds for related traffic law <br /> violations) required because of an"accident"we cover. We are not obligated to <br /> furnish these bonds. <br /> (4) All reasonable expenses incurred by the "insured" at our request, including <br /> actual loss of earnings up to$500 a day because of time off from work. <br /> Copyright 2017 Mercury Insurance Services,LLC. All rights reserved. <br /> MCA85100817-CA Includes copyrighted material of Insurance Services Office,Inc.,with its Permissior Page 2 of 6 <br />