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DocuSign Envelope ID:897E46E3-FA01-48C0-AD59-05BF8E64A105 <br /> BUSINES AUTO <br /> CA 21 0712 93 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> SPLIT UNINSURED MOTORISTS COVERAGE LIMITS <br /> This endorsement modifies insurance provided under the following: <br /> UNINSURED MOTORISTS COVERAGE <br /> SCHEDULE <br /> "Bodily Injury" $ 30,000 Each Person <br /> $ 60,000 Each"Accident" <br /> "Property Damage" $ 25,000 Each"Accident" <br /> (If no entry appears above, information required to complete this endorsement will be shown in the Declarations <br /> as applicable to this endorsement.) <br /> Paragraph 1. of LIMIT OF INSURANCE is replaced by the following: <br /> 1. Regardless of the number of covered"autos", "insureds", premiums paid, claims made or vehicles involved <br /> in the"accident",the limit of insurance is as follows: <br /> a. The most we will pay for all damages resulting from "bodily injury" to any one person caused by any <br /> one "accident", including all damages claimed by any person or organization for care, loss ot services <br /> or death resulting from the "bodily injury", is the limit of"Bodily Injury" shown in the Schedule for each <br /> person. <br /> b. Subject to the limit for each person, the most we will pay for all damages resulting from "bodily injury" <br /> caused by any one"accident"is the limit of"Bodily Injury"shown in the Schedule for each"accident". <br /> c. If coverage for "property damage" is provided by this insure nce, the most we will pay for all damages <br /> resulting from"property damage"caused by any one"accide it"is the limit of"Property Dama e"shown <br /> in the Schedule for each "accident". <br /> All terms and conditions of this policy apply unless modified by this endorsement.11 <br /> CA 21 07 12 93 Includes copyrighted material of Insurance Services Office, Inc.2002,with its permission. Pa e 1 of 1 <br /> P <br /> L734 1 7 067 8584 AGENT COPY ACP BAFB22-6.4894216 100 35 <br />