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COMMERCIAL AUTOMOBILE <br />HA 99 16 03 12 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />COMMERCIAL AUTOMOBILE BROAD FORM <br />ENDORSEMENT <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />To the extent that the provisions of this endorsement provide broader benefits to the "insured"than other <br />provisions of the Coverage Form, the provisions of this endorsement apply. <br />1.BROAD FORM INSURED d.Any "employee"of yours while using a <br />covered "auto"you don't own,hire or A.Subsidiaries and Newly Acquired or <br />borrow in your business or yourFormed Organizations <br />personal affairs.The Named Insured shown in the <br />C.Lessors as InsuredsDeclarations is amended to include: <br />Paragraph A.1.-WHO IS AN INSURED -of (1)Any legal business entity other than a <br />Section II -Liability Coverage is amended topartnershiporjointventure,formed as a <br />add:subsidiary in which you have an <br />ownership interest of more than 50%on e.The lessor of a covered "auto"while the <br />the effective date of the Coverage Form. "auto"is leased to you under a written <br />However,the Named Insured does not agreement if: <br />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 the lessor andsuchapolicybutforitsterminationor <br />(2)The "auto"is leased without a driver.the exhaustion of its Limit of Insurance. <br />Such a leased "auto"will be considered a (2)Any organization that is acquired or <br />covered "auto"you own and not a covered formed by you and over which you <br />"auto"you hire.maintain majority ownership.However, <br />the Named Insured does not include any D.Additional Insured if Required by Contract <br />newly formed or acquired organization:(1)Paragraph A.1.-WHO IS AN INSURED <br />(a)That is a partnership or joint -of Section II -Liability Coverage is <br />venture,amended to add: <br />(b)That is an "insured"under any other f.When you have agreed,in a writtenpolicy,contract or written agreement,that a <br />(c)That has exhausted its Limit of person or organization be added as <br />Insurance under any other policy, or an additional insured on your <br />business auto policy, such person or (d)180 days or more after its <br />organization is an "insured", but only acquisition or formation by you, <br />to the extent such person orunlessyouhavegivenusnoticeof <br />organization is liable for "bodilythe acquisition or formation. <br />injury"or "property damage"causedCoveragedoesnotapplyto"bodily <br />by the conduct of an "insured" under injury"or "property damage"that results <br />paragraphs a.or b.of Who Is Anfroman"accident"that occurred before <br />Insured with regard to theyouformed or acquired the organization. <br />ownership,maintenance or use of a B.Employees as Insureds covered "auto." <br />Paragraph A.1.-WHO IS AN INSURED -of <br />SECTION II -LIABILITY COVERAGE is <br />amended to add: <br />© 2011, The Hartford (Includes copyrighted material <br />Form HA 99 16 03 12 Page 1 of 5of ISO Properties,Inc.,with its permission.) <br />Docusign Envelope ID: 016C7FF8-5EB3-4D21-A006-0A8906E60E75