2015-124-E AMS - Tile Restoration Inc. for floor restoration at Southern Human Services Center

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DocuSigin Envelope ID: DE1 D8FF0-BDA1-4F5A-AB39-D3DOD4764DE6 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ, IT CAREFULLY. COMMERCIAL AUTO ELITE AMENDMENT This endorsement modifies insurance provided Linder the following: BUSINESS AUTO COVERAGE FORM The BUSINESS AUTO COVERAGE FORM is amended to include the following clarifications and extensions of coverage. With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. TEMPORARY SUBSTITUTE AUTO PHYSICAL (1) Coverage under this provision is afforded DAMAGE only up to 180 days after you acquire or SECTION I — COVERED AUTOS paragraph C, form the organization, or to the lend of the Certain Trailers, Mobile Equipment, and policy period, whichever is earlier, Temporary Substitute Autos is amended by (2) Any organization you acquire or form will adding the following: not be considered an "insured" if-, If PHYSICAL DAMAGE COVERAGE is provided (a) The organization is a partnership or a by this coverage form for an "auto" you own, the joint venture; or Physical Damage Coverages provided for that (b) That organization is covered under owned "auto"are extended to any"auto"you do not other similar insurance. own while used with the permission of its owner as a temporary substitute for the covered "auto" you (3) Coverage Linder this provision does not own that is out of service because of breakdown, apply to any claim for "bodily injury" or repair, servicing, "loss"or destruction. "property damage" resulting from an The coverage provided is the same as the "accident" that occurred before you formed coverage provided for the vehicle being replaced. or acquired the organization. B. BLANKET ADDITIONAL INSURED E. SUBSIDIARIES AS INSUREDS SECTION 11 — LIABILITY COVERAGE, A.I. Who SECTION 11 — LIABILITY COVERAGE, A.I. Who Is An Insured is amended by adding the following: Is An Insured is amended by adding the following: Any person or organization who is a party to a Any legally incorporated subsidiary in which you own more than 50 written agreement or contract with you in which you % of the voting stock on the effective date of this policy. However, "insured" agree to provide the type, of insurance afforded, does not include any subsidiary that is an "insured" under this Business Auto Coverage Form. under any other automobile liability policy or was an This provision applies to claims for"bodily injury" or "insured under such a policy but for termination of ,.property damage" which occur after the execution that policy or the exhaustion of the policy's limits of of any written agreement or contract. liability. C. EMPLOYEES AS INSUREDS F. COVERAGE EXTENSIONS — SUPPLEMENTARY The following is added to the Section 11 — PAYMENTS LIABILITY COVERAGE, Paragraph AA. Who Is SECTION 11 — LIABILITY COVERAGE, A.2.a. An Insured Provision: Coverage Extensions, Supplementary Payments Any "employee" of yours is an "insured"'while using (2) and (4) are replaced by the following: a covered "auto" you don't own, hire, or borrow in (2) Up to $5,000 for the cost of bail bonds your business or your personal affairs, (including bonds for related traffic law D. NEWLY FORMED OR ACQUIRED violations) required because of an "accident" ORGANIZATIONS we cover. We do not have to furnish these bonds. SECTION 11 — LIABILITY COVERAGE, A.1. Who Is An Insured is amended by adding the following: (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of Any organization which you acquire or form after earnings up to $500 a day because of time off the effective date of this policy in which you from work. maintain ownership or majority interest. However: CA7450(7.14) Includes copyrighted material of ISO Properties,Inc.with its permission. Page 1 of 4