CTR055523_2022-04-01_COI.pdf

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE

INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #

NAME:

CONTACT

(A/C, No):

FAX

E-MAIL

ADDRESS:

PRODUCER

(A/C, No, Ext):

PHONE

INSURED

REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

OTHER:

(Per accident)

(Ea accident)

N / A

SUBR

WVD

ADDL

INSD

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

$PROPERTY DAMAGE

BODILY INJURY (Per accident)

BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

DESCRIPTION OF OPERATIONS below If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE

E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

E.L. EACH ACCIDENT

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

EXCESS LIAB

UMBRELLA LIAB $EACH OCCURRENCE

$AGGREGATE

OCCUR

CLAIMS-MADE

DED RETENTION $

$PRODUCTS - COMP/OP AGG

$GENERAL AGGREGATE

$PERSONAL & ADV INJURY

$MED EXP (Any one person)

$EACH OCCURRENCE

DAMAGE TO RENTED

$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY

PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03)

© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

6/28/2021

Lovitt & Touché A Marsh and McLennan Agency, LLC 1050 W Washington Street, Suite 233 Tempe AZ 85281

Tonia Selfridge 602-956-2250 602-956-2258 tselfridge@lovitt-touche.com

CopperPoint General Insurance Company 13043 HUMARES-C2 Capitol Specialty Insurance Corporation 10328

Human Resource Training, Inc.

1951 W. Camelback Rd, #450 Phoenix AZ 85015

Nationwide Affinity Ins. Co. of America 26093

1409267768

B X 1,000,000 X 1,000,000

10,000

1,000,000

3,000,000 X

HS2021225101 4/1/2021 4/1/2022

3,000,000

C 1,000,000

X

X X

ACP3100098185 4/1/2021 4/1/2022

B X 1,000,000 X

HS20212252-01 4/1/2021 4/1/2022

1,000,000

A X1004473 8/5/2020 8/5/2021

1,000,000

1,000,000

1,000,000 B Professional Liability

Sexual Abuse & Molestation HS2021225101 4/1/2021 4/1/2022 $1,000,000 Each

$1,000,000 Each $3,000,000 Agg.

$3,000,000 Agg.

The State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees are named additional insured with respect to liability and auto arising out of the activities performed by or on behalf of the Contractor.

General Liability, auto and workers compensation waiver of subrogation in favor of the State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees for losses arising from work performed by or on behalf of the Contractor.

The insurance afforded the Contractor is primary and any insurance carried by the Department, its agents, officials, employees or the State of Arizona shall be excess and not contributory insurance.

See Attached...

Department of Child Safety Office of Procurement & Contracts 3003 N. Central Ave., C010-20 Phoenix AZ 85007

THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE

ACORD 101 (2008/01)

The ACORD name and logo are registered marks of ACORD

© 2008 ACORD CORPORATION. All rights reserved.

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: FORM TITLE:

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY CUSTOMER ID:

LOC #:

AGENCY

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED

EFFECTIVE DATE:

HUMARES-C2

1 1

Lovitt & Touché A Marsh and McLennan Agency, LLC Human Resource Training, Inc.

1951 W. Camelback Rd, #450 Phoenix AZ 85015

25 CERTIFICATE OF LIABILITY INSURANCE

Umbrella Follows form applies to general liability, auto liability, professional liability, sexual misconduct and employers liability.

Contract Numbers include: ADCS18-200036, ADCS17-174432, ADCS16-119255, CTR045636, ADCS15-094739, AZDCS18-00007646, ADCS19-206583, CTR055523. Policy includes Blanket Contractual Liability - written and oral $1,000,000.

The State of Arizona and the Department of Child Safety are included Additional Insureds with respect to liability arising out of the activities performed by or on behalf of the contractor.

The General Liability and Auto Liability includes Blanket Waiver of Subrogation against the State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents and employees for losses arising from performed or on behalf of the contractor, when required by written contract.

Auto Liability - The State of Arizona and the Arizona Department of Child Safety are included as Additional Insureds with respect to liability arising out of the activities performed by or on behalf of the contractors involving automobiles owned, leased, hired or borrowed by the contractor, when required by written contract.

Policy limits include coverage for sexual abuse and molestation.

COMMERCIAL AUTO

AC 70 05 03 16

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

BUSINESS AUTO PROTECTION - GOLD

This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM

SUMMARY OF COVERAGES

A. Effect of This Endorsement B. Newly Acquired or Formed Entities C. Employees as Insureds – Nonowned Autos D. Additional Insured by Contract, Permit or Agreement E. Supplementary Payments – Bail Bonds F. Supplementary Payments – Loss of Earnings G. Personal Effects and Property of Others Extension H. Prejudgment Interest Coverage I. Fellow Employee – Officer, Managers and Supervisors J. Hired Auto Physical Damage K. Temporary Substitute Autos – Physical Damage Coverage L. Expanded Towing Coverage M. Auto Loan or Lease Coverage N. Original Equipment Manufacturer Parts – Leased Private Passenger Types O. Deductible Amendments P. Rental Reimbursement Coverage Q. Expanded Transportation Expense R. Extra Expense – Stolen Autos S. Physical Damage Limit of Insurance T. New Vehicle Replacement Cost U. Physical Damage Coverage Extension V. Transfer of Rights of Recovery Against Others To Us W. Section IV – Business Auto Conditions – Notice of and Knowledge of Occurrence X. Hired Car Coverage Territory Y. Emergency Lock Out Z. Cancellation Condition

AC 70 05 03 16 Page 1 of 7Includes copyrighted material of Insurance Services Office, Inc.

with its permission

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If specifically required by the written contract orA. EFFECT OF THIS ENDORSEMENT agreement referenced in the paragraph above,Coverage provided under this policy is modified any coverage provided by this endorsement toby the provisions of this endorsement. If there an additional insured shall be primary andis any conflict between the provisions of this any other valid and collectible insurance avail-endorsement and the provision(s) of any state- able to the additional insured shall be non-specific endorsement also attached to this poli- contributory with this insurance. If the writtency, then the provision(s) of the state-specific contract does not require this coverage to beendorsement shall apply instead of the provi- primary and the additional insured’s coverage tosions of this endorsement that are in conflict, be non-contributory, then this insurance will bebut only to the extent of the conflict, and only to excess over any other valid and collectible insur-the extent necessary to bring such provisions ance available to the additional insured.into conformance with the state requirement(s) contained in the provision(s) of the state-specific endorsement. E. SUPPLEMENTARY PAYMENTS – BAIL

BONDSB. NEWLY ACQUIRED OR FORMED ENTITIES

Supplementary Payments of SECTION II –The Named Insured shown in the Declarations is COVERED AUTOS LIABILITY COVERAGE isamended to include any organization you newly revised as follows:acquire or form, other than a partnership, joint venture, or limited liability company, and over (2) Up to $2,500 for cost of bail bonds (including which you maintain ownership or majority (more bonds for related traffic law violations) than 50%) interest; if there is no other similar in- required because of an “accident” we cover.

surance available to that organization. Coverage We do not have to furnish these bonds.

thunder this provision is afforded until the 180 F. SUPPLEMENTARY PAYMENTS – LOSS OFday after you acquire or form the organization or EARNINGSthe end of the policy period, whichever is later.

Supplementary Payments of the SECTION II –C. EMPLOYEES AS INSUREDS – NONOWNED COVERED AUTOS LIABILITY COVERAGE isAUTOS revised as follows:

The following is added to paragraph A.1. Who Is (4) All reasonable expenses incurred by the “in-An Insured of SECTION II – COVERED AUTOS sured” at our request, including actual lossLIABILITY COVERAGE: of earnings up to $500 a day because of

d. Any "employee" of yours is an "insured" time off from work.

while using a covered "auto" you don't own, G PERSONAL EFFECTS AND PROPERTY OF.hire or borrow in your business or your per- OTHERS EXTENSION sonal affairs.

1. The. Care, Custody or Control Exclusion ofD. ADDITIONAL INSURED BY CONTRACT, SECTION II – COVERED AUTOSPERMIT OR AGREEMENT LIABILITY COVERAGE, does not apply to The following is added to A.1. Who Is An In- "property damage" to property, other than sured of SECTION II – COVERED AUTOS your property, up to an amount not exceed- LIABILITY COVERAGE: ing $250 in any one "accident". Coverage is excess over any other valid and collectibleAny person or organization that you are re-insurance.quired to name as an additional insured in a written contract or agreement that is executed 2. The following paragraph is added to A.4.

or signed by you prior to a “bodily injury” or Coverage Extensions of SECTION III – “property damage” occurrence is an “insured” PHYSICAL DAMAGE COVERAGE:

for Covered Auto L iability coverage. How- c. We will pay up to $500 for your propertyever, with respect to covered “autos”, such that is lost or damaged as a result of aperson or organization is an insured only to covered “loss”, without applying a de-the extent that person or organization qualifies ductible. Coverage is excess over anyas an “insured” under A.1. Who is an Insured of other valid and collectible insurance.SECTION II – COVERED AUTOS LIABILITY

COVERAGE:

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H. PREJUDGMENT INTEREST COVERAGE substitute for a covered "auto" you own that is out of service because of its:The following paragraph is added to SECTION II

– COVERED AUTOS LIABILITY COVERAGE, a. Breakdown;

2. Coverage Extensions, a. Supplementary b. Repair;

Payments: c. Servicing;

(7) Prejudgment interest awarded against the d. "Loss"; or“insured” on that part of the judgment we

e. Destructionpay. If we make an offer to pay the appli-cable limit of insurance, we will not pay The coverage that applies is the same as any prejudgment interest based on that the coverage provided for the vehicle being period of time after the offer. replaced.

I FELLOW EMPLOYEE – OFFICERS,.

MANAGERS, AND SUPERVISORS L EXPANDED TOWING COVERAGE.

The Fellow Employee Exclusion in SECTION II 1. We will pay up to:

– COVERED AUTOS LIABILITY COVERAGE is a. $100 for a covered "auto" you own ofreplaced as follows; the private passenger type, or A. "Bodily injury" to any fellow "employee" of b. $500 for a covered "auto" you own thatthe "insured" arising out of and in the course is not of the private passenger type,of the fellow "employee's" employment or for towing and labor costs incurred eachwhile performing duties related to the con-time the covered "auto" is disabled. Howev-duct of your business. This exclusion does er, the labor must be performed at the placenot apply to an "insured" who occupies a of disablement.position as an officer, manager, or supervi-sor. 2. This coverage applies only for an "auto" covered on this policy for Comprehensive orJ HIRED AUTO PHYSICAL DAMAGE.

Specified Causes of Loss Coverage andIf covered "auto" designation symbols 1 or 8 ap- Collision Coverages.ply to Liability Coverage and if at least one "au-

3. Payment applies in addition to the otherwiseto" you own is covered by this policy for Com-applicable amount of each coverage youprehensive, Specified Causes of Loss, or Colli-have on a covered “auto”.sion coverages, then the Physical Damage coverages provided are extended to "autos" you M AUTO LOAN OR LEASE COVERAGE.

lease, hire, rent or borrow without a driver; and 1. In the event of a total "loss" to a covered provisions in the Business Auto Coverage Form "auto", we will pay any unpaid amount due applicable to Hired Auto Physical Damage apply on the loan or lease, including up to a max-up to a limit of $100,000. The deductible will be imum of $500 for early termination fees or equal to the largest deductible applicable to any penalties, for your covered "auto" less:

owned "auto" for that coverage. Any Compre-

a. The amount paid under SECTION III –hensive deductible does not apply to fire or PHYSICAL DAMAGE COVERAGE oflightning. this policy; and

K. TEMPORARY SUBSTITUTE AUTOS –

b. Any:PHYSICAL DAMAGE COVERAGE

1) Overdue lease/loan payments at theThe following is added to paragraph C. Certain time of the "loss";Trailers, Mobile Equipment And Temporary

2) Financial penalties imposed under aSubstitute Autos of SECTION I - COVERED lease for excessive use, abnormalAUTOS:

wear and tear or high mileage;If Physical Damage Coverage is provided by

3) Security deposits not refunded by athis Coverage Form, the following types of lessor;vehicles are also covered "autos" for Physi-cal Damage Coverage: 4) Costs of extended warranties, Credit Life insurance, Health, Accident, orAny "auto" you do not own while used with Disability insurance purchased withthe permission of its owner as a temporary the lease; and

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5) Carry-over balances from previous No deductible applies to glass if the glass is re-leases. paired, in a manner acceptable to us, rather than replaced.2. This coverage only applies to a "loss" which is also covered under this policy for Com- P. RENTAL REIMBURSEMENT COVERAGE prehensive, Specified Causes of Loss, or 1. This coverage applies only to a covered "au- Collision coverage. to" for which Physical Damage Coverage is

3. Coverage does not apply to any unpaid provided on this policy.

amount due on a loan for which the covered 2. We will pay for rental reimbursement ex- “auto” is not the sole collateral. penses incurred by you for the rental of an

N. ORIGINAL EQUIPMENT MANUFACTURER "auto" because of "loss" to a covered "auto".

PARTS – LEASED PRIVATE PASSENGER Payment applies in addition to the otherwise TYPES applicable amount of each coverage you have on a covered "auto." No deductiblesUnder Paragraph C. Limit of Insurance of apply to this coverage.SECTION III – PHYSICAL DAMAGE

COVERAGE, Section 4 is added as follows: 3. We will pay only for those expenses incurred during the policy period beginning 24 hours4. We will use new original equipment vehicle after the "loss" and ending, regardless of themanufacturer parts for any private passen-policy's expiration, with the lesser of theger type covered “auto” where required by following number of days:the lease agreement which has a term of at least six months. If a new original equip- a. The number of days reasonably ment vehicle manufacturer part is not in pro- required to repair or replace the covered duction or distribution we may use a like, "auto". If "loss" is caused by theft, this kind and quality replacement part. number of days is added to the number of days it takes to locate the coveredO. DEDUCTIBLE AMENDMENTS "auto" and return it to you.The following are added to the Deductible provi-

b. The number of days shown in thesion of SECTION III – PHYSICAL DAMAGE Schedule.COVERAGE:

4. Our payment is limited to the lesser of theIf another policy or coverage form that is not an following amounts:automobile policy or coverage form issued by this company applies to the same “accident”, the a. Necessary and actual expenses following applies: incurred.

1. If the deductible under this coverage is the b. $75 for any one day or for a maximum smaller (or smallest) deductible, it will be of 30 days.

waived: 5. This coverage does not apply while there

2. If the deductible under this coverage is not are spare or reserve "autos" available to you the smaller (or smallest) deductible, it will be for your operations.

reduced by the amount of the smaller (or 6. If "loss" results from the total theft of a cov-smallest) deductible. ered "auto" of the private passenger type, If a Comprehensive or Specified Causes of Loss we will pay under this coverage only that Coverage “loss” from one “accident” involves amount of your rental reimbursement ex-two or more covered “autos”, only the highest penses which is not already provided for un-deductible applicable to those coverages will be der SECTION III – PHYSICAL DAMAGE applied to the “accident,” if the cause of the loss COVERAGE Coverage Extension.

is covered for those vehicles. This provision only Q EXPANDED TRANSPORTATION EXPENSE.

applies if you carry Comprehensive or Specified Paragraph A.4.a. of SECTION III – PHYSICALCauses of Loss Coverage for those vehicles, DAMAGE COVERAGE is replaced by the follow-and does not extend coverage to any covered ing:“autos” for which you do not carry such

We will pay up to $50 per day to a maximum ofcoverage.

$1500 for temporary transportation expense in-curred by you because of the total theft of a

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covered "auto" of the private passenger type. ment manufacturer or other sources in- We will only pay for those covered "autos" for cluding non-original equipment manu-which you carry Comprehensive or Specified facturers and Causes of Loss Coverage. We will pay for tem- b. If a repair or replacement results in bet-porary transportation expenses incurred during ter than like kind or quality, we will not the period beginning 24 hours after the theft and pay for the amount of the net improve-ending, regardless of the policy's expiration, ment.

when the covered "auto" is returned to use or we 5. If we offer to pay the actual cash value ofpay for its "loss". the damaged or stolen property, we will

R. EXTRA EXPENSE – STOLEN AUTOS value auto advertising wraps, paint customi- The following paragraph is added to Coverage zation, and similar business related advertis- Extensions of SECTION III – PHYSICAL ing modifications, in addition to the actual DAMAGE COVERAGE: cash value of the property. Auto advertising wraps, paint customization, and similarc. We will pay for up to $5,000 for the expense business related advertising modificationsof returning a stolen covered “auto” to you.

will be valued at the cost to replace themWe will pay only for those covered “autos” with an adjustment made for depreciationfor which you carry Comprehensive or Spec-and physical condition.ified Causes of Loss Coverage

T. NEW VEHICLE REPLACEMENT COSTS. PHYSICAL DAMAGE LIMIT OF INSURANCE

The following is added to the Limit of InsuranceUnder SECTION III – PHYSICAL DAMAGE provision of SECTION III – PHYSICALCOVERAGE, Paragraph C., Limit of Insurance DAMAGE COVERAGE:is replaced by the following:

5. The provisions of paragraphs 1. and 3. doC. Limit Of Insurance not apply to a covered “auto“ of the private1. The most we will pay for “loss” in any one passenger type or a vehicle with a gross“accident” is the lesser of: vehicle weight rating of 20,000 pounds or

a. The actual cash value of the damaged less which is a “new vehicle.”

or stolen property as of the time of the In the event of a total “loss” to your new ve-“loss”, or hicle to which this coverage applies, we will

b. The cost of repairing or replacing the pay at your option:

damaged or stolen property. a. The verifiable “new vehicle” purchase

2. $1500 is the most we will pay for “loss” in price you paid for your damaged vehi-any one “accident” to all electronic equip- cle, not including any insurance or war-ment that reproduces, receives or transmits ranties purchased;

audio, visual or data signals which, at the b. If it is available, the purchase price, astime of “loss”, is: negotiated by us, of a “new vehicle” of

a. Permanently installed in or upon the the same make, model, and equipment covered “auto” in a housing, opening or or the most similar model available, not other location that is not normally used including any furnishings, parts, or by the “auto” manufacturer for the in- equipment not installed by the manufac-stallation of such equipment. turer or manufacturers’ dealership; or .

b. Removable from a permanently installed c. The market value of your damaged ve-housing unit as described in Paragraph hicle, not including any furnishings, 2.a. above or is an integral part of that parts, or equipment not installed by the equipment; or manufacturer or manufacturer’s dealer-

c. An integral part of such equipment. ship.

3. An adjustment for depreciation and physical We will not pay for initiation or set up costs condition will be made in determining actual associated with loans or leases cash value in the event of a total “loss”. As used in this endorsement, a “new

4. The cost of repairing or replacing may: vehicle” means an “auto” of which you are the original owner that has not been previ-a. Be based on an estimate which includes parts furnished by the original equip- AC 70 05 03 16 Page 5 of 7Includes copyrighted material of Insurance Services Office, Inc., ACP BA 30-0-9788060 LR4X 20190 INSURED COPY AC7005031600 0001 46 0001342 ously titled and which you purchased less a. Your obligation in the Duties in the Event than 365 days before the date of the “loss”. of Accident, Claim, Suit or Loss Condi-tion relative to notification requirements applies only when the “accident” orU. PHYSICAL DAMAGE COVERAGE “loss” is known to:EXTENSIONS

(1) You, if you are an individual;Under SECTION III – PHYSICAL DAMAGE

(2) A partner, if you are a partnership;COVERAGE, A. Coverage, Coverage Exten-sions, b. Loss of Use Expenses is replaced by (3) A member, if you are a limited liability the following: company; or

b. Loss of Use Expenses (4) An executive officer or insurance manager, if you are a corporation.For Hired Auto Physical Damage, we will pay expenses for which an “insured” be- b. Your obligation in the. Duties in the Event comes legally responsible to pay for loss of of Accident, Claim, Suit or Loss Condition use of a vehicle rented or hired without a relative to providing us with documents driver, under a written rental contract or concerning a claim or “suit” will not be agreement. We will pay for loss of use ex- considered breached unless the breach penses if caused by: occurs after such claim or “suit” is known to:(1) Other than collision if the Declarations indicate that Comprehensive Coverage (1) You, if you are an individual;

is provided for any covered “auto”; (2) A partner, if you are a partnership;

(2) Specified Causes of Loss only if the (3) A member, if you are a limited Declarations indicate that Specified liability company; or Causes of Loss Coverage is provided (4) An executive officer or insurancefor any covered “auto”; or manager, if you are a corporation.

(3) Collision only if the Declarations indicate that Collision Coverage is provided for

X. HIRED CAR – COVERAGE TERRITORYany covered “auto.”

Item (5) of the Policy Period, Coverage TerritoryHowever, the most we will pay for any GeneralConditionss replacedby the following:expenses for loss of use is $50 per day, to a maximum of $1,500. The insurance provided (5) Anywheren the worldif a covered “auto” is by this provision is excess over any other leased, hired, rented or borrowed without a collectible insurance. driver for a period of 30 days or less; and

V. TRANSFER OF RIGHTS OF RECOVERY Y. EMERGENCY LOCKOUT

AGAINST OTHERS TO US We will reimburse you up to $100 for reasonable The following is added to the Transfer Of Rights expense incurred for the services of a locksmith Of Recovery Against Others To Us Condition: to gain entry into your covered “auto” subject to these provisions:We waive any right of recovery we may have against any person or organization to 1. Your door key, electronic key or key entry the extent required of you by a written con- pad has been lost, stolen or locked in your tract executed prior to any “accident” be- covered “auto” and you are unable to enter cause of payments we make for damages such “auto” , or under this coverage form. 2. Your keyless entry device battery dies and

W. NOTICE OF AND KNOWLEDGE OF you are unable to enter such "auto" as a re- OCCURRENCE sult,

3. Your key, electronic key or key entry padSECTION IV – BUSINESS AUTO has been lost or stolen and you haveCONDITIONS, Paragraph A is amended as changed the lock to prevent an unauthorizedfollows:

entry; and

6. NOTICE OF AND KNOWLEDGE OF

OCCURRENCE

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4. Original copies of receipts for services of a If we cancel for any reason other than non-locksmith must be provided before reim- payment of premium, we will mail or deliver bursement is payable. to the First Named Insured written notice of cancellation at least 60 days before the ef-Z. CANCELLATION CONDITION fective date of cancellation. This provision Paragraph A.2. of the COMMON POLICY does not apply in those states that require CONDITION – CANCELLATION applies more than 60 days prior notice of cancella-except as follows: tion.

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AC 20 41 03 16

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED – PRIMARY AND

NON-CONTRIBUTORY ENDORSEMENT

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.

SCHEDULE

State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees

(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.)

A. d for PWho Is An Insure COVERED AUTOS rimary And Noncontributory Insurance LIABILITY COVERAGE is amended to include as

This insurance is primary to and will not seekan “insured” for Covered Autos Liability Coverage:

contribution from any other insurance available to

Each person or organization shown in the the person or organization named in the Schedule Schedule, but only to the extent that person or under your policy provided that:

organization qualifies as an “insured”. The (1) The person or organization is a Named “accident” must arise out of ongoing operations insured under such other insurance; and performed for the Named Insured.

(2) You have agreed in writing in a contract or agreement that this insurance would beB. Changes in CONDITIONS primary and would not seek contribution from any other insurance available to them.The following is added to the Other Insurance

Condition and supersedes any provision to the contrary:

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CA 04 44 10 13

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US (WAIVER OF SUBROGATION)

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM

With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.

SCHEDULE

Name(s) Of Person(s) Or Organization(s):

State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization.

CA 04 44 10 13 Page 1 of 1© Insurance Services Office, Inc., 2011

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