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BUSINESS AUTO COVERAGE FORM <br />POLICY NUMBER:SCHEDULE BA <br />NAME INSURED: <br />Page 1 <br />Voices Together <br />2020-35634 <br />DEDUCTIBLES apply only if coverage <br />is provided as indicated below. <br />OTHER THAN <br />COLLISION COLLISION <br />CLASS <br />CODETERR. <br />DESCRIPTION <br />COVERED <br />AUTO <br />NO. <br />YEAR, MODEL, TRADE NAME, <br />BODYTYPE, SERIAL NUMBER(S)VIN STATE <br />Item Three:SCHEDULE OF COVERED AUTOS YOU OWN <br />NO OWNED AUTOS <br />PREMIUMS: COVERAGE IS PROVIDED ONLY IF A PREMIUM CHARGE IS INDICATED. <br />COVERED <br />AUTO <br />NO. <br />NON- <br />OWNED HIRED LIABILITY <br />MED <br />PAY <br />UM/ <br />UIM <br />PHYSICAL DAMAGE <br />COLL. COMP. <br />ADDITIONAL INSURED / LOSS PAYEE: <br />Except for towing, all physical damage loss is payable to you and the Loss <br />Payee named below as interest may appear at the time of loss. See attached <br />Schedule AI.PIP <br />NO/H 200 50 <br />Date(AUTHORIZED REPRESENTATIVE) <br /> "NOTICE : This Policy is issued by your risk retention group. Your risk retention group may not be subject to all the <br />insurance laws and regulations of your State. State insurance insolvency guaranty funds are not available for your risk <br />retention group." <br />ANI - RRG - SCHEDULE BA <br />09/10/2020 <br />DocuSign Envelope ID: 81A61471-345A-47F9-8A2D-36F7929A6637