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COMMERCIAL AUTOMOBILE <br />HA 99 16 12 21 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />Form HA 99 16 12 21 Page 1 of 5 <br />© 2021, The Hartford <br />(Includes copyrighted material of Insurance Services Office, Inc. with its permission.) <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 <br />Paragraph .1. - WHO IS AN INSURED - of <br />Section II - Liability Coverage is amended to <br />add the following: <br />d. Subsidiaries and Newly Acquired or <br />Formed Organizations <br />The Named Insured shown in the <br />Declarations is amended to include: <br />(1) Any legal business entity other than a <br />partnership or joint venture, formed as a <br />subsidiary in which you have an <br />ownership interest of more than 50% on <br />the effective date of the Coverage Form. <br />However, the Named Insured does not <br />include any subsidiary that is an <br />"insured" under any other automobile <br />policy or would be an "insured" under <br />such a policy but for its termination or <br />the exhaustion of its Limit of Insurance. <br />(2) Any organization that is acquired or <br />formed by you and over which you <br />maintain majority ownership. However, <br />the Named Insured does not include any <br />newly formed or acquired organization: <br />(a) That is a partnership or joint <br />venture, <br />(b) That is an "insured" under any other <br />policy, <br />(c) That has exhausted its Limit of <br />Insurance under any other policy, or <br />(d) 180 days or more after its <br />acquisition or formation by you, <br />unless you have given us notice of <br />the acquisition or formation. <br />Coverage does not apply to "bodily <br />injury" or "property damage" that results <br />from an "accident" that occurred before <br />you formed or acquired the organization. <br />e. Employees as Insureds <br />(1). Any "employee" of yours while using a <br />covered "auto" you don't own, hire or <br />borrow in your business or your <br />personal affairs. <br />f. Lessors as Insureds <br />(1). The lessor of a covered "auto" while the <br />"auto" is leased to you under a written <br />agreement if: <br />(a) The agreement requires you to <br />provide direct primary insurance for <br />the lessor and <br />(b) The "auto" is leased without a <br />driver. <br />Such a leased "auto" will be considered a <br />covered "auto" you own and not a covered <br />"auto" you hire. <br />g. Additional Insured if Required by Contract <br />(1) When you have agreed, in a written <br />contract or written agreement, that a <br />person or organization be added as an <br />additional insured on your business auto <br />policy, such person or organization is an <br />"insured", but only to the extent such <br />person or organization is liable for <br />"bodily injury" or "property damage" <br />caused by the conduct of an "insured" <br />under paragraphs a. or b. of Who Is An <br />Insured with regard to the ownership, <br />maintenance or use of a covered "auto." <br />The insurance afforded to any such <br />additional insured applies only if the <br />"bodily injury" or "property damage" <br />occurs: <br />(a) During the policy period, and <br />(b) Subsequent to the execution of such <br />written contract, and <br />Rehrig Pacific Company, Inc. <br />72CSES44002 03/31/2024 <br />79597326 | REHRIPAC2 | 24-25 GL CAU UMC WC IM PRF | Mahesh Mylarappa | 4/18/2024 4:57:42 PM (PDT) | Page 2 of 14 <br />Docusign Envelope ID: 99306186-17FB-4EAC-9539-D90895EB6D04