AUTOMOBILE ENDORSEMENT

CV

PROPERTY DAMAGE ENDORSEMENT "B"
(Including Omnibus Coverage)

Agency....

....., 192.....

In consideration of an additional premium of $............ but subject to all the conditions of this Policy, this insurance is extended to cover the assured's legal liability to other persons for the injury to or destruction of the property of such persons (including resultant loss of use of such property), and in addition thereto the legal expenses incurred by the assured with the consent of the Company in connection with such injury or destruction, resulting solely and directly from the ownership, maintenance or use of the automobile herein described, provided such injury or destruction occurs during the period covered by the Policy; subject, however, to the following limitations and exclusions:

(1) The property of the assured, or in charge of the assured or of any of his employees, or carried in or upon the automobile described herein, is excluded from this coverage;

(2) This Company's liability for injury or destruction is limited to the actual value of the property destroyed at the time of its destruction and/or the actual cost of the suitable repair of the property injured, but in no case shall this Company be liable with respect to claims (including claims for loss of use) arising from one accident for more than $.........., and in addition thereto the legal expenses incurred by the assured with the consent of the Company.

(3) The insurance under this endorsement does not attach or cover while the automobile insured is engaged in any race or speed contest, or while being operated by any person under the age limit fixed by law or in any event under the age of sixteen years.

It is a condition of this endorsement that if action be brought against the assured to enforce a claim for damage covered hereby, he shall immediately notify the Company and promptly forward to it every summons or other paper or process served on or received by him in connection therewith.

It is a condition of this endorsement that the assured whenever requested by the Company, shall aid in effecting settlement, securing information and evidence, and the attendance of witnesses; but the assured shall not voluntarily assume any liability or interfere in any negotiation for settlement or in any legal proceeding, or incur any expense or settle any claim except at his own cost, without the written consent of the Company previously given.

The indemnity provided by this endorsement is so extended as to be available, in the same manner and under the same conditions as it is available to the named assured, to any person or persons while riding in or lawfully operating any of the insured automobiles, and to any person, firm or corporation legally responsible for the operation thereof, provided such use or operation is with the permission of the named assured, or, if the named assured is an individual, with the permission of an adult member of the named assured's household other than the chauffeur or a domestic servant.

The unqualified term "Assured" wherever used in this endorsement shall include in each instance any other person, firm or corporation entitled to indemnity under this endorsement, but the qualified term "named Assured" shall apply only to the assured named in the Policy.

If any person, firm or corporation other than the named assured carries valid and collectible insurance covering a claim also covered by this endorsement, such other person, firm or corporation shall not be entitled to indemnity under this endorsement.

All other terms and conditions of this Policy remaining unchanged.
Attached to and forming part of Policy No........., of the

INSURANCE COMPANY,

..Agent

CVI

FIRE, THEFT AND TRANSPORTATION AUTOMOBILE POLICY

(Approved by the National Convention of Insurance Commissioners at their December, 1919, meeting in New York.)

No.

Form No. 2

Insurance Company

IN CONSIDERATION OF THE PREMIUM HEREINAFTER MENTIONED Bors Insure the Assured named herein, and legal representatives, for the term herein specified, to an amount not exceeding the amount of insurance herein specified, against direct loss or damage, from the perils insured against, to the Body, Machinery and Equipment of the Automobile described herein while within the limits of the United States (exclusive of Alaska, the Hawaiian Islands and Porto Rico) and Canada, including while in building, on road, on railroad car or other conveyance, ferry or inland steamer, or coastwise steamer between ports within said limits. The following are the perils insured against: Perils insured against. (B) While being transported in any conveyance by land or water, the stranding, sinking, collision burning or derailment of such conveyance, including general average and salvage charges for which the Assured is legally liable.

(A) Fire, arising from any cause whatsoever; and Lightning;

(C) Theft, robbery or pilferage, excepting by any person or persons in the Assured's household or in the Assured's service or employment, whether the theft, robbery or pilferage occur during the hours of such service or employment or not, and excepting also the wrongful conversion, embezzlement, or secretion by a mortgagor or vendee in possession under mortgage, conditional sale or lease agreement, and excepting in any case, other than in case of the theft of the entire Automobile described herein, the theft, robbery or pilferage of tools and repair equipment.

3. The facts with respect to the purchase of the Automobile described are as follows:

assured.

The Assured's occupation or business where the subject of this insurance is used in connection therewith, the Warranties by the description of the Automobile insured, the facts with respect to the purchase of same, the uses to which it is and will be put, and the place where it is usually kept, as set forth and contained in this Policy, are statements of facts known to and warranted by the Assured to be true, and this Policy is issued by the Company relying upon the truth thereof This Company shall not be liable for:

Property excluded.

War, riot, etc.

Other insurance.

Cancellation.

(a) Loss or damage to robes, wearing apparel, personal effects, or extra bodies;

(b) Loss or damage caused directly or indirectly by invasion, insurrection, riot, civil war or commotion, military, naval or usurped power, or by order of any civil authority.

No recovery shall be had under this Policy, if at the time a loss occurs there be any other insurance covering such loss, which would attach if this insurance had not been effected.

This Policy shall be canceled at any time at the request of the Assured, in which case the Company shall, upon demand and surrender of this Policy, refund the excess of paid premium above the customary short rate premium for the expired term. This Policy may be canceled at any time by the Company by giving to the Assured a five (5) days' written notice of cancellation with or without tender of the excess of paid premium above the pro-rata premium for the expired

CVI—Continued

term, which excess if not tendered shall be refunded on demand. Notice of cancellation shall state that said excess premium (if not tendered) will be refunded on demand Notice of cancellation mailed to the address of the Assured stated in the Policy

shall be a sufficient notice

Limitation of lia.

This Company shall not be liable beyond the actual cash value of the property at the time any loss or damage occurs, and the loss or damage shall be ascertained or estimated accordingly, with proper deduction for depreciability and method tion however caused, (and without compensation for the loss of use of the property), and shall in no event exceed what it would then cost to repair or replace the Automobile or such parts thereof as may be damaged with other of like kind and quality; such ascertainment or estimate shall be made by the Assured and this Company,

of determining

same.

or if they differ, then by appraisal as hereinafter provided

Abandonment.

It shall be optional with this Company to take all or any part of the property at the appraised value where appraisal is had as bereinafter. provided, but there can be no abandonment thereof to this Company; and where theft is insured against the Company shall have the right to return a stolen Automobile or other property with compensation for physical damage, at any time before actual payment hereunder.

Loss for which

bailee for hire is liable.

This Company shall not be liable for loss or damage to any property insured hereunder while in the possession of a bailee for hire under a contract, stipulation or assignment whereby the benefit of this insurance is sought to be made available to such bailee. Where loss or damage occurs for which a bailee may be liable and which would otherwise be covered hereunder, this Company will advance to the Assured by way of loan the money equivalent of such loss or damage, which loan shall in no circumstances affect the question of the Company's liability hereunder and shall be repaid to the extent of the net amount collected by or for account of the. Assured from the bailee after deducting cost and expense of collection. Noon,

and fraud.

The word "Noon" herein means noon of standard time at the place the contract was made.

This entire Policy shall be void if the Assured has concealed or misrepresented any material fact or circumstance Misrepresentation concerning this insurance or the subject thereof; or in case of any fraud, attempted fraud, or false swearing by the Assured touching any matter relating to this insurance or the subject thereof, whether before or after a loss. This entire Policy shall be void unless otherwise provided by agreement in writing added hereto;

Title and ownership.

(a) If the interest of the Assured in the subject of this insurance be other than unconditional and sole owner. ship; or in case of transfer or termination of the interest of the Assured other than by death of the Assured or in case of any change in the nature of the insurable interest of the Assured in the property described herein either by sale or otherwise; or

Encumbrance.

(b) If this Policy or any part thereof shall be assigned before loss.

Unless otherwise provided by agreement in writing added hereto, this Company shall not be liable for loss or damage to any property insured hereunder,

(a) While encumbered by any lien or mortgage.

(b) While the Automobile described herein is frequently or habitually used as a public or livery conveyance Limitation of use. for carrying passengers for compensation, and for one week after the termination of said use; or while being rented under contract or leased, or operated in any race or speed contest.

Protection of salvage.

In the event of loss or damage occasioned by a peril insured against herein the Assured shall protect the property from further loss or damage and any such further loss or damage occurring directly or indirectly from a failure to protect shall not be recoverable under this Policy. Any such act of the Assured or this Company or its agents in recovering, saving and preserving the property described herein, shall be considered as done for the benefit of all concerned and without prejudice to the rights of either party, and all reasonable expenses thus incurred shall constitute a claim under this Policy; provided however that this Company shall not be responsible for the payment of a reward offered for the recovery of the insured property unless authorized by the Company.

Notico and proof

of loss.

In the event of loss or damage the Assured shall give forthwith notice thereof in writing to this Company; and within sixty (60) days after such loss, unless such time is extended in writing by this Company, shall render a statement to this Company signed and sworn to by the Assured, stating the place, time and cause of the loss or damage, the interest of the Assured and of all others in the property, the sound value thereof and the amount of loss or damage thereon, all encumbrances thereon, and all other insurance whether valid or not covering said property; and the Assured, as often as required, shall exhibit to any person designated by this Company all that remains of the property insured and submit to examinations under oath by any person named by this Company, and subscribe the same; and as often as required, shall produce for examination all books of account, bills, invoices, and other vouchers, or certified copies thereof if originals be lost, at such reasonable place as may be designated by this Company or its representative, and shall permit extracts and copies thereof to be made. In case the Assured and this Company shall fail to agree as to the amount of loss or damage, each shall, on the Appraisal. written demand of either, select a competent and disinterested appraiser. The appraisers shall first select a competent and disinterested umpire; and failing for fifteen (15) days to agree upon such umpire then, on request of the Assured or this Company, such umpire shall be selected by a judge of a court of record in the County and State in which the property insured was located at time of loss. The appraisers shall then appraise the loss and damage stating separately sound value and loss or damage to each item; and failing to agree, shall submit their differences only, to the umpire. An award in writing, so itemized, of any two when filed with this Company shall determine the amount of sound value and loss or damage. Each appraiser shall be paid by the party selecting him and the expenses of appraisal and umpire shall be paid by the parties equally. This Company shall not be held to have waived any provision or condition of this Policy or any forfeiture thereof Payment of loss. by any requirement, act, or proceeding on its part relating to the sppraisal, or to any examination herein provided for; and the loss shall in no event become payable until sixty (60) days after the notice, ascertainment, estimate and verified proof of loss herein required have been received by this Company, and if appraisal is demanded, then, not until sixty (60) days after an award has been made by the appraisers.

Subrogation.

Suit against
Company.

This Company may require from the Assured an assignment of all right of recovery against any party for loss or damage to the extent that payment therefor is made by this Company.

No suit or action on this Policy or for the recovery of any claim hereunder shall be sustainable in any court of law or equity unless the Assured shall have fully complied with all the foregoing requirements, nor unless commenced within twelve (12) months next after the happening of the loss; provided that where such limitation

Marine Secretary

CVI-Continued

of time is prohibited by the laws of the State wherein this Polioy is issued, then and in that event no suit or action under thir Policy shall be sustainable unless commenced within the shortest limitation permitted under the laws of such State.

This Policy is made and accepted subject to the provisions, exclusions, conditions and warranties set forth herein or endorsed hereon, and upon acceptance of this Policy the Assured agrees that its terms embody all agreements then existing between himself and the Company or any of its agents relating to the insurance described herein, and no officer, agent or other representative of this Company shall have power to waive any of the terms of this Policy unless such waiver be written upon or attached hereto; nor shall any privilege or permission affecting the insurance under this Policy exist or be claimed by the Assured unless so written or attached.

Provisions required by law to be stated in this Policy-This Policy is in a stock corporation. In Witness Whereof, this Company has executed and attested these presents; but this Policy shall not be valid unless countersigned by a duly authorized agent of the Company at

AUTOMOBILE ENDORSEMENT

CVII

VALUED POLICY CLAUSE

Agency...

., 192...

Valued policy and automatic loss reinstatement

In consideration of the increased rate at which this Policy is written the Automobile described herein (body, machinery and equipment), is valued at the sum insured.

In the event of loss or damage to said Automobile whether such loss or damage is covered by this Policy or not, the liability of this Company under this Policy shall be reduced by the amount of such loss or damage until repairs have been completed, but shall then attach for the full amount as originally written, without additional premium.

All other terms and conditions of this Policy remaining unchanged.

In consideration of a reduction in premium, it is warranted by the Assured that the Automobile insured under this Policy will be continuously equipped with a locking device known as.... (approved by the Underwriters' Laboratories, Inc., and bearing their label) and a device for locking spare tires known as.... (similarly approved and labeled). The Insured undertakes during the currency of this Policy to use all diligence and care in maintaining the efficiency of said locking devices and in locking the Automobile and spare tires when leaving the same unattended.

..

All other terms and conditions of this Policy remaining unchanged.

Attached to and forming part of Policy No........., of the

INSURANCE COMPANY,

.Agent