976311693 N IC68277 INS POLEND U POLWHITEFONT UTXXYLGW3VUQENG5I2GC7FW6GF0006 RPUID BDF_AA

Policy Number: 976311693

Megan Moyers
Form_SCTNID_CTGRY.XX0222A264_POLEND
Page 1 of 2

Auto Policy Endorsement

Your policy is amended as follows:
Part IV - Damage To A Vehicle
The following exclusion is added:
To a covered auto while being operated by a driver who, at the time of the loss, was not listed on your
declarations page and who was residing in your household as a permanent resident or as a temporary guest.
This exclusion does not apply to the following situations:
a. The driver operating the covered auto started residing in your household as a permanent resident or as a
temporary guest no more than 185 days prior to the loss;
b. The driver operating the covered auto became a licensed driver no more than 185 days prior to the loss. For
purposes of this exclusion, a licensed driver, includes a driver with an instructional or temporary permit, an out
of state license, or any other permit or license that authorizes a person to operate a vehicle in any state;
c. At the time of the loss, the driver operating the covered auto was insured by another policy of insurance that
provides automobile liability insurance coverage for that driver's use of your covered auto;
d. At the time of the loss, the driver was operating the covered auto to obtain emergency medical treatment for
a passenger in the covered auto; or
e. At the time of the loss, the driver was operating the covered auto because all other licensed drivers in the
covered auto were intoxicated, and the driver was not intoxicated. Coverage applies only if someone reports
the loss to the police or civil authority within 24 hours or as soon as practicable after the loss occurred.
This exclusion applies to collision coverage only.
All other terms, limits, and provisions of this policy remain unchanged.
Form_SCTNID_CTGRY.XX1121A331_POLEND
Form A264 (02/22)

Auto Policy Endorsement

Your policy is amended as follows:
The Insuring Agreement—Trip Interruption Coverage is added under Part V—Roadside Assistance Coverage:
INSURING AGREEMENT—TRIP INTERRUPTION COVERAGE
If you pay the premium for this coverage, we will reimburse interruption expenses as described below when a covered
auto is disabled due to mechanical breakdown or a covered comprehensive or collision loss, even if you have not paid
a premium for Comprehensive Coverage or Collision Coverage under this policy.
For this coverage to apply, the disablement must occur more than 100 miles from the insured’s primary residence.
When a covered auto is disabled, interruption expenses consist of the following:
1. up to $100 per day for lodging;
2. up to $50 per day for meals; and
3. up to $50 per day for alternate transportation.
Coverage is limited to $500 per disablement. Payment of Trip Interruption benefits will not obligate us to make any
payment under any other coverage in this policy.
All other terms, limits and provisions of this policy remain unchanged.
Form_SCTNID_CTGRY.XX10084884_POLEND
Form A331 (11/21)

Window Glass Coverage Endorsement

Your policy is amended as follows:
Part IV - Damage To A Vehicle
The following is added to Part IV - Damage To A Vehicle:

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976311693 N IC68277 INS POLEND U POLWHITEFONT UTXXYLGW3VUQENG5I2GC7FW6GF0006 RPUID BDF_AA

Policy Number: 976311693

Megan Moyers
Page 2 of 2
INSURING AGREEMENT - COMPREHENSIVE WINDOW GLASS COVERAGE
If your declarations page shows that this coverage applies to your policy, we will pay under Comprehensive Coverage
for loss, not caused by collision, to glass or plastic used in the windshield, backglass, windows, moonroof, or sunroof of
a covered auto.
This coverage is subject to the deductible shown on your declarations page.
All other terms, limits, and provisions of this policy remain unchanged.
Form 4884 (10/08)