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151AL (10/2003)

THIS ENDORSEMENT CHANGES THE POLICY.  PLEASE READ IT CAREFULLY.

NAMED DRIVER EXCLUSION ENDORSEMENT


You agree with us that by accepting this policy and this endorsement that we will not pay for any loss occurring while your covered auto or any other car is being driven by


This policy provides no coverage in any form while the person(s) named above as the excluded driver(s) is operating your covered auto or any other car.

 

Automobile Club Inter-Insurance Exchange
Club Exchange Corporation, Attorney-in-Fact

 

      ______________________________                                           ______________________________
                         Secretary                                                                                             President


Named Insured: Policy #: