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Policy Number <br />Issued by <br />AC 84 07 07 13 © 2013 Liberty Mutual Insurance. All rights reserved. <br />Includes copyrighted material of Insurance Services Office, Inc., <br />with its permission. <br />Page 7 of 11 <br />However, the most we will pay under this coverage is $30 per day, subject to a maximum of $900. <br />XVII. AUTO MEDICAL PAYMENTS COVERAGE - INCREASED LIMITS <br />For any covered "loss", the Limit of Insurance for Auto Medical Payments will be double the limit shown in the <br />Declarations if the "insured" was wearing a seat belt at the time of the "accident". This is the maximum amount <br />we will pay for all covered medical expenses, regardless of the number of covered "autos", "insureds", <br />premiums paid, claims made, or vehicles involved in the "accident". <br />If no limit of insurance for Auto Medical Payments is shown on the Declarations, this paragraph Section XVII of <br />this endorsement does not apply. <br />XVIII. DRIVE OTHER CAR COVERAGE - BROADENED COVERAGE FOR DESIGNATED INDIVIDUALS <br />A. This endorsement amends only those coverages indicated with an "X" in the Drive Other Car section of the <br />Schedule to this endorsement. <br />B.SECTION II - LIABILITY COVERAGE is amended as follows: <br />1.Any "auto" you don't own, hire or borrow is a covered "auto" for Liability Coverage while being used by <br />any individual named in the Drive Other Car section of the Schedule to this endorsement or by his or <br />her spouse while a resident of the same household except: <br />a.Any "auto" owned by that individual or by any member of his or her household; or <br />b.Any "auto" used by that individual or his or her spouse while working in a business of selling, <br />servicing, repairing or parking "autos". <br />2.The following is added to Who Is An Insured: <br />Any individual named in the Drive Other Car section of the Schedule to this endorsement and his or her <br />spouse, while a resident of the same household, are "insureds" while using any covered "auto" <br />described in Paragraph B.1. of this endorsement. <br />C.Auto Medical Payments, Uninsured Motorist, and Underinsured Motorist Coverages are amended as <br />follows: <br />The following is added to Who Is An Insured: <br />Any individual named in the Drive Other Car section of the Schedule to this endorsement and his or her <br />"family members" are "insured" while "occupying" or while a pedestrian when struck by any "auto" you don't <br />own except: <br />Any "auto" owned by that individual or by any "family member". <br />D.SECTION III - PHYSICAL DAMAGE COVERAGE is changed as follows: <br />Any private passenger type "auto" you don't own, hire or borrow is a covered "auto" while in the care, <br />custody or control of any individual named in the Drive Other Car section of the Schedule to this <br />endorsement or his or her spouse while a resident of the same household except: <br />1.Any "auto" owned by that individual or by any member of his or her household; or <br />Liberty Mutual Fire Insurance Co. <br />Docusign Envelope ID: 06528EA8-C8FB-4176-8C2E-D53F24B897F0