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Attachment Code:D563844 Certificate ID: 16059509 Policy Number:72UENOL5481 COMMERCIAL AUTOMOBILE Policy Term:2/1/2023 to 2/1/2025 HA 99 16 03 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM To the extent that the provisions of this endorsement provide broader benefits to the"insured"than other provisions of the Coverage Form, the provisions of this endorsement apply. 1. BROAD FORM INSURED d. Any"employee"of yours while using a A. Subsidiaries and Newly Acquired or covered"auto"you don't own, hire or Formed Organizations borrow in your business or your The Named Insured shown in the personal affairs. Declarations is amended to include: C. Lessors as Insureds (1)Any legal business entity other than a Paragraph A.1.-WHO IS AN INSURED-of partnership or joint venture,formed as a Section II -Liability Coverage is amended to subsidiary in which you have an add: ownership interest of more than 50%on e. The lessor of a covered "auto"while the the effective date of the Coverage Form. "auto"is leased to you under a written However, the Named Insured does not agreement if: include any subsidiary that is an (1)The agreement requires you to "insured"under any other automobile provide direct primary insurance for policy or would be an"insured" under such a policy but for its termination or the lessor and the exhaustion of its Limit of Insurance. (2)The"auto"is leased without a driver. (2)Any organization that is acquired or Such a leased"auto"will be considered a formed by you and over which you covered"auto"you own and not a covered maintain majority ownership. However, "auto"you hire. the Named Insured does not include any D. Additional Insured if Required by Contract newly formed or acquired organization: (1)Paragraph A.1. -WHO IS AN INSURED (a)That is a partnership or joint -of Section II-Liability Coverage is venture, amended to add: (b)That is an"insured"under any other f. When you have agreed, in a written policy, contract or written agreement, that a (c)That has exhausted its Limit of person or organization be added as Insurance under any other policy, or an additional insured on your (d) 180 days or more after its business auto policy, such person or acquisition or formation by you, organization is an "insured", but only unless you have given us notice of to the extent such person or the acquisition or formation. organization is liable for"bodily Coverage does not apply to"bodily injury"or"property damage"caused injury"or"property damage"that results by the conduct of an"insured" under from an "accident"that occurred before paragraphs a. or b.of Who Is An Insured with regard to the you formed or acquired the organization. ownership, maintenance or use of a B. Employees as Insureds covered "a\ Paragraph A.1. -WHO IS AN INSURED-of ,R,ti a Risk Management Division SECTION II -LIABILITY COVERAGE is � m REVIEWED amended to add: = •o IRttdl t. A ACtIgetei Risk Management Specialist ©2011,The Hartford (Includes copyrighted material Form HA 99 16 03 12 of ISO Properties, Inc.,with its permission.) / rQyC , �,