GEORGE BIANCHI CONSTRUCTIONS, INC.

43 10 2 of 56 3 2 0 9 0 3 00 1 5 8 9 27 0 2021 Liberty Mutual Insurance AC 85 43 08 21 Page 2 of 7IncludescopyrightedmaterialofInsuranceServicesOffice,Inc.,with its permission. Coverage under this provision d.does not apply to "bodily injury"or "property damage"that occurred before you acquired or formed the organization. 2.EMPLOYEES AS INSUREDS SECTION II -LIABILITY COVERAGE,Paragraph A.1.Who Is An Insured is amended to include the following as an "insured": e.Any "employee"of yours while using a covered "auto"you do not own,hire or borrow but only for acts within the scope of their employment by you.Insurance provided by this endorsement is excess over any other insurance available to any "employee". f.Any "employee"of yours while operating an "auto"hired or borrowed under a written contract or agreement in that "employee’s"name,with your permission,while performing duties related to the conduct of your business and within the scope of their employment.Insurance provided by this endorsement is excess over any other insurance available to the "employee". 3.ADDITIONAL INSURED BY CONTRACT,AGREEMENT OR PERMIT SECTION II -LIABILITY COVERAGE,Paragraph A.1.Who Is An Insured is amended to include the following as an "insured": g.Any person or organization with respect to the operation,maintenance or use of a covered "auto", provided that you and such person or organization have agreed in a written contract,written agreement,or permit issued to you by governmental or public authority,to add such person,or organization,or governmental or public authority to this policy as an "insured". However,such person or organization is an "insured": (1)Only with respect to the operation,maintenance or use of a covered "auto"; (2)Only for "bodily injury"or "property damage"caused by an "accident"which takes place after you executed the written contract or written agreement,or the permit has been issued to you; and (3)Only for the duration of that contract,agreement or permit. The "insured"is required to submit a claim to any other insurer to which coverage could apply for defense and indemnity.Unless the "insured"has agreed in writing to primary noncontributory wording per enhancement number 23,this policy is excess over any other collectible insurance. 4.SUPPLEMENTARY PAYMENTS SECTION II -LIABILITY COVERAGE ,Coverage Extensions,2.a.Supplementary Payments ,Paragraphs (2)and (4)are replaced by the following: (2)Up to $3,000 for cost of bail bonds (including bonds for related traffic violations )required because of an "accident"we cover.We do not have to furnish these bonds. (4)All reasonable expenses incurred by the "insured"at our request,including actual loss of earnings up to $500 a day because of time off from work. 5.AMENDED FELLOW EMPLOYEE EXCLUSION In those jurisdictions where,by law,fellow "employees"are not entitled to the protection afforded to the employer by the workers compensation exclusivity rule,or similar protection,the following provi- sion is added: SECTION II -LIABILITY,Exclusion B.5.Fellow Employee does not apply if the "bodily injury"results from the use of a covered "auto"you own or hire if you have workers compensation insurance in force for all of your "employees"at the time of "loss". This coverage is excess over any other collectible insurance. SECTION III -PHYSICAL DAMAGE COVERAGE is amended as follows: 6.HIRED AUTO PHYSICAL DAMAGE Paragraph A.4.Coverage Extensions of SECTION III -PHYSICAL DAMAGE COVERAGE ,is amended by adding the following: If hired "autos"are covered "autos"for Liability Coverage,and if Comprehensive,Specified Causes of Loss or Collision coverage are provided under the Business Auto Coverage Form for any "auto"you own,then the Physical Damage coverages provided are extended to "autos": Docusign Envelope ID: 15F8BE68-D125-405B-9ADC-3D65624EB783