CO 04 40 07 05

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

RESIDENCE PREMISES

For an additional premium, we cover the following structures on the residence premises rented or held for rental to any person not a tenant of the dwelling for use as a private residence.

SECTION I

We insure for direct physical loss to these structures caused by the Perils Insured Against for the limit of liability shown below:

Identification of Structures*	Limit of Liability*
1.	$
2.	$
3.	$
4.	$
5.	$
6.	$

SECTION II

Under Coverage E - Personal Liability and Coverage F - Medical Payments to Others, the structures listed above are included in the definition of insured location.

With respect to the structures listed above, Exclusion 1.c. under Section II Exclusions - Coverage E - Personal Liability and Coverage F - Medical Payments to Others does not apply.

*Entries may be left blank if shown elsewhere in this policy for this coverage.

All other provisions of this policy apply.

AUTO CLUB FAMILY INSURANCE OMPANY

_________________________________	________________________________
Secretary	President

 

Includes copyrighted material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services Office, Inc., 1990 CO 04 40 07 05