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Insured: <br />Policy No.: <br />Includes copyrighted material of Insurance Services Office, Inc. with its permission. <br />Copyright, Insurance Services Office, Inc., 1996 <br />461-0155 (9-97) <br />  <br />  <br />  <br />  <br />5. Transfer Of Rights Of Recovery <br />Against Others To Us <br />  <br />If any person or organization to or <br />for whom we make payment under <br />this Coverage Form has rights to <br />recover damages from another, <br />which have not been waived <br />through the execution of an "insured <br />contract", written agreement, or <br />permit, prior to the "accident" or <br />"loss" giving rise to the payment, <br />those rights to recover damages <br />from another are transferred to us. <br />That person or organization must do <br />everything necessary to secure our <br />rights and must do nothing after the <br />"accident" or "loss" to impair them. <br />  <br />18. UNINTENTIONAL FAILURE TO <br />DISCLOSE INFORMATION <br />  <br />The following is added to SECTION IV <br />BUSINESS AUTO CONDITIONS. B. <br />General Conditions, paragraph 2. <br />Concealment, Misrepresentation Or <br />Fraud: <br />  <br />Your unintentional error in disclosing, or <br />failure to disclose, any material fact <br />existing after the effective date of this <br />Coverage Form shall not prejudice your <br />rights under this Coverage Form. <br />However, this provision does not affect <br />our right to collect additional premium or <br />exercise our right of cancellation or <br />nonrenewal. <br />19. HIRED AUTO - WORLDWIDE <br />COVERAGE <br />  <br />The following is added to SECTION IV - <br />Business Auto Conditions, B. General <br />Conditions, paragraph 7. Policy Period, <br />Coverage Territory provision: <br />  <br />e. Outside the coverage territory <br />described in a., b., c., and d. <br />above for an "accident" or "loss" <br />resulting from the use of a <br />covered "auto" you hire, without a <br />driver, or your employee hires <br />without a driver, at your direction, <br />for the purpose of conducting your <br />business, for a period of 30 days <br />or less, provided the suit is <br />brought within The United States <br />of America or its territories or <br />possessions. <br />  <br />SECTION V - DEFINITIONS <br />  <br />20. MENTAL ANGUISH <br />  <br />Paragraph C. "Bodily injury", SECTION V - <br />DEFINITIONS is replaced by the following: <br />  <br />C. "Bodily injury" means bodily injury, <br />sickness or disease sustained by a <br />person including death or mental <br />anguish resulting from any of these. <br />True North Compliance Services, Inc. <br />AW3J248741 <br />85255176 | 24-25 GL-AL-UMB-WC-PL | Diana Chau | 5/13/2025 3:01:12 PM (PDT) | Page 6 of 7 <br />Docusign Envelope ID: 3A7963A8-840B-46FD-938C-873D645F7FB4