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POLICY NUMBER: 72UECCN2379 <br />COMMERCIALAUTOMOBILE <br />HA99161221 <br />THISENDORSEMENTCHANGESTHEPOLICY.PLEASEREADITCAREFULLY. <br />COMMERCIALAUTOMOBILEBROADFORM <br />ENDORSEMENT <br />Thisendorsementmodifiesinsuranceprovidedunderthefollowing: <br />BUSINESSAUTOCOVERAGEFORM <br />Totheextentthattheprovisionsofthisendorsementprovidebroaderbenefitstothe"insured"thanother <br />provisionsoftheCoverageForm,theprovisionsofthisendorsementapply. <br />1.BROADFORMINSUREDe.EmployeesasInsureds <br />(1).Any"employee"ofyourswhileusinga <br />Paragraph.1.-WHOISANINSURED-of <br />covered"auto"youdon'town,hireor <br />SectionII-LiabilityCoverageisamendedto <br />borrowinyourbusinessoryourpersonal <br />addthefollowing: <br />affairs. <br />d.SubsidiariesandNewlyAcquiredor <br />f.LessorsasInsureds <br />FormedOrganizations <br />(1).Thelessorofacovered"auto"whilethe <br />TheNamedInsuredshownintheDeclarations <br />"auto"isleasedtoyouunderawritten <br />isamendedtoinclude: <br />agreementif: <br />(1)Anylegalbusinessentityotherthana <br />(a)Theagreementrequiresyouto <br />partnershiporjointventure,formedasa <br />providedirectprimaryinsurancefor <br />subsidiaryinwhichyouhavean <br />thelessorand <br />ownershipinterestofmorethan50%on <br />theeffectivedateoftheCoverageForm. <br />(b)The"auto"isleasedwithoutadriver. <br />However,theNamedInsureddoesnot <br />Suchaleased"auto"willbeconsidereda <br />includeanysubsidiarythatisan"insured" <br />covered"auto"youownandnotacovered <br />underanyotherautomobilepolicyor <br />"auto"youhire. <br />wouldbean"insured"undersuchapolicy <br />g.AdditionalInsuredifRequiredbyContract <br />butforitsterminationortheexhaustionof <br />itsLimitofInsurance. <br />(1)Whenyouhaveagreed,inawritten <br />contractorwrittenagreement,thata <br />(2)Anyorganizationthatisacquiredor <br />personororganizationbeaddedasan <br />formedbyyouandoverwhichyou <br />additionalinsuredonyourbusinessauto <br />maintainmajorityownership.However, <br />policy,suchpersonororganizationisan <br />theNamedInsureddoesnotincludeany <br />"insured",butonlytotheextentsuch <br />newlyformedoracquiredorganization: <br />personororganizationisliablefor"bodily <br />(a)Thatisapartnershiporjointventure, <br />injury"or"propertydamage"causedby <br />(b)Thatisan"insured"underanyother <br />theconductofan"insured"under <br />policy, <br />paragraphsa.orb.ofWhoIsAnInsured <br />withregardtotheownership, <br />(c)ThathasexhausteditsLimitof <br />maintenanceoruseofacovered"auto." <br />Insuranceunderanyotherpolicy,or <br />Theinsuranceaffordedtoanysuch <br />(d)180daysormoreafteritsacquisition <br />additionalinsuredappliesonlyifthe <br />orformationbyyou,unlessyouhave <br />"bodilyinjury"or"propertydamage" <br />givenusnoticeoftheacquisitionor <br />occurs: <br />formation. <br />(a)Duringthepolicyperiod,and <br />Coveragedoesnotapplyto"bodilyinjury" <br />or"propertydamage"thatresultsfroman <br />(b)Subsequenttotheexecutionofsuch <br />"accident"thatoccurredbeforeyou <br />writtencontract,and <br />formedoracquiredtheorganization. <br />FormHA99161221Page1of5 <br />©2021,TheHartford <br />(IncludescopyrightedmaterialofInsuranceServicesOffice,Inc.withitspermission.) <br /> <br />