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ITEM THREE SCHEDULE OF COVERED AUTOS YOU OWN SEe ATTACHED SCHEDULE ITEM FOUR SCHEDULE FOR HIRED OR BORROWED COVERED AUTO COVERAGE AND PREMIUMS LIABILITY COVERAGE STATE EST1MAlED COST OF HIRE FOR EACH STATE RATE FACTOR (If Llablllty Cov. Is Primary) PREMIUM FL s IF ANY FLAT CHARGE Included PHYSICAL DAMAGE COVERAGE COVERAGES LIMIT OF COVERAGE ESTIMATED ANNUAL RATE PER EACH $100 PREMIUM THE MOST WE .....,LL PAY DEDUCTIBLE COST OF HIRE ANNUAL COST OF HIRE COMPREHENSIVE ACTUAL CASH VALUE OR COST OF REPAIRS OR $IF ANY $ Induded $50,000. WHICHEVER IS LESS. MINUS $2,500 OED. FOR EACH COVERED AUTO. SPECIFIED CAUSES ACTUAL CASH VALUE OR COST OF REPAIR. $ $ $ OF LOSS WHICHEVER IS LESS, MINUS $ OED. FOR EACH COVERED AUTO FOR LOSS CAUSED BY MISCHIEF OR VANDALISM COLLISION ACTUAL CASH VALUE OR COST OF REPAIRS OR $IF ANY $ Induded $50,000. WHICHEVER IS LESS, MINUS $2,500 OED. FOR EACH COVERED AUTO PREMIUM Included ITEM FIVE SCHEDULE FOR NON.OWNERSHIP LIABILITY NAMED COVERED PARTY'S BUSINESS RATING BASIS PREMIUM Induded Muricipality IFANY FORMS AND ENDORSEMENTS Forms and endorsements applying to this Coverage Part and made part of the coverage agreement at this time of issue: See PGIT 002 Premium: $ INCLUDED THIS SUPPLEMENTAL DECLARATIONS AND THE COMMON AGREEMENT DECLARATIONS, TOGETHER WITH THE COMMON AGREEMENT CONDITIONS, COVERAGE PART(S), FORMS AND ENDORSEMENTS, IF ANY, COMPLETE THE ABOVE NUMBERED AGREEMENT. PGll 030 (07 10) Includes copyrighted material of Insurance Services Office, Inc. with its permission Page 2