COLLEGE OF INSTRUMENT TECHNOLOGY

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POLICY NUMBER: 13UI-015023-00 COMMERCIAL AUTO CA BUI 02 24 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - COMBINED FORM - AUTOMOBILE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by the endorsement. Named Insured: Instrument Personnel, Inc. Endorsement Effective Date: 03/04/2025 "WHO IS AN INSURED" (Section II. A. 1.) is amended to include as an Insured the person or organization D. If the Additional Insured is a state or other political with whom you are obligated by a written contract or subdivision: written agreement to provide insurance such as is afforded by this policy. The coverage afforded by this (1) This insurance applies only with respect to policy to the Additional Insured shall only apply as operations performed by you or on your be- respects to liability arising out of operations per- half for which the state or political subdivision formed by the Insured for the Additional Insured, or has issued a permit, work order or authoriza- arising out of the use of an "auto" leased to the tion. Insured by the Additional Insured if the Additional (2) This insurance does not apply to "bodily injury" Insured is a Lessor, and subject to the following: or "property damage" arising out of operations performed for the state or political subdivi- A. If the Additional Insured is a lessor of leased "au- sion. tos" this insurance does not apply to any "acci- dent" which takes place after the "auto" lease E. If the Additional Insured is an Owner, Lessee or expires, or when the lessor or his or her agent Contractor, this coverage applies only with re- takes possession of the leased "auto", whichever spect to liability caused by operations performed occurs first. directly by you and/or your employees, for the Additional Insured at a location designated in a B. If the Additional Insured is engaged in operations written contract or agreement. as a "Shipper" or "Motor Carrier", coverage af- forded by this policy shall only apply as respects The insurance afforded to the Additional Insured is to liability arising out of hauling done by the In- only with respect to the Additional Insured's vicarious sured for the Additional Insured. liability for your negligent acts or omissions. No cov- erage is afforded or extended by this endorsement for any claims arising out of the negligence or willful C. If the Additional Insured owns or controls property misconduct of the Additional Insured. on which you travel or perform operations related to your business, coverage afforded by this policy shall only apply to liability which arises from use of a covered "auto" on property owned or con- trolled by the Additional Insured. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CA BUI 02 24 12 19 PAGE 1 OF 2