File name: Driver Exclusion Form Pdf
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Driver Exclusion Form Pdf ========================
BBB A+ Rated Business · Fast, Easy & Secure · Edit On Any Device · 3M+ Satisfied CustomersService catalog: Document Management, Electronic Signatures, Cloud Storage. Form Search Engine · Fast, Easy & Secure · 5 Star Rated · Money Back GuaranteeService catalog: Document Management, Electronic Signatures, Cloud Storage. Coverage while your covered auto or any other motor vehicle is operated by the excluded driver. Acknowledged by: (Named Insured’s Signature) (Date) (Agent’s Signature) (Date) FORM . This exclusion from coverage applies to any use or operation of a motorized vehicle including the negligent or alleged negligent entrustment of a motorized vehicle to any designated excluded driver listed above. For any negligence which may be imputed to you by law arising out of the maintenance, operation or use of any auto or trailer by the “Named Excluded Driver”. Please read this important notice. The named insured acknowledges and understands that this endorsement amends and forms a part of the policy that will be received. *Signature required only if previous policy did not contain an endorsement excluding coverage while the person named above is operating any insured vehicle. DRIVER EXCLUSION ENDORSEMENT This endorsement is a part of the policy. Except for the changes this endorsement makes, all other provisions of the policy remain the same and apply to this endorsement. IT IS AGREED THAT, except as to the named insured’s legal liability, WE SHALL NOT BE LIABLE AND NO LIABILITY OR OBLIGA-. DRIVER EXCLUSION ENDORSEMENT This endorsement, effective the dated signed ( a.m., Standard Time), forms a part of policy number _____ issued to by Traders Insurance Company. *Signature required only if previous policy did not contain an endorsement excluding coverage while the person named above is operating any insured vehicle.