# ACE Risk Management

## Limits and Coverages

### Automobile
Policy Number: ISA H09042854

### Policy Limits - Automobile Liability

| Coverage | Symbol | Limit |
|----------|--------|-------|
| Liability | 1      | 5,000,000 |
| Medical Payments | 2 | 5,000 |
| Personal Injury Protection | 5 | Stat & Reject |
| Additional Personal Injury Protection | N/A | Not Covered |
| Uninsured Motorist | 6 | Stat Min/Reject |
| Underinsured Motorist | 6 | Stat Min/Reject |

### Policy Form and Endorsements

- The policy forms and endorsements offered may be different than those requested.
- State mandatory endorsements will be attached to the policy in addition to those listed below.

| Title | Form # | Edition | Restriction in Coverage from Prior Year | Comments |
|-------|--------|---------|--------------------------------------|-----------|
| BUSINESS AUTO | CA 00 01 | 10-13 | - | - |
| ADDITIONAL INSURED - LESSOR | CA2001 | 0306 | - | Additional Insured: Any Lessor whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss |
| AUTO MEDICAL PAYMENTS COVERAGE | CA9903 | 0306 | - | - |
| DIRECT ACTION EXPENSES | ALL44289a | 0815 | - | - |
| DRIVE OTHER CAR COVERAGE - BROADENED COVERAGE FOR NAMED INDIVIDUALS | CA9910 | 0902 | - | Any employee assigned a company auto who is not covered under a personal auto liability policy. Limits: as per dec page |
| EMPLOYEES AS INSUREDS | CA9933 | 0299 | - | - |
| FELLOW EMPLOYEE COVERAGE | CA2055 | 1001 | - | - |
| HIRED AUTOS SPECIFIED AS COVERED AUTOS YOU OWN | CA9916 | 0310 | - | All autos hired for a period of 180 days or longer |
| KY LOCAL GOVERNMENT PREMIUM TAX SCHEDULE | ALL32677a | 0412 | Tax Code: 7777 Tax Amount: $0 | - |
| MEXICO COVERAGE ENDORSEMENT | DA9T51 | 0793 | - | - |
| MOTOR CARRIER ENDORSEMENT | MCS90 | 0614 | Primary = 5,000,000 limit | - |
| NON-CONTRIBUTORY FOR ADDITIONAL INSUREDS | DA21886b | 04/11 | - | Any additional insured with whom you have agreed to provide such non-contributory insurance, pursuant to and as required under a written contract executed prior to the date of loss. |
| NOTICE TO OTHERS | ALL32688 | 0111 | - | - |

INTERNAT_05212016
05/16/2016
Limits and Coverages Page 7 of 9