Oregon Mutual Insurance Company

California Commercial Auto
Sample Contract & Support Forms

 

 

 

 

Make your selections from this list to open, download or print.  Locate a form by using your web browser's FIND feature listed under the Edit Menu or type  Ctrl-F to open the pop-up window. Type the form's name or number and press enter.

Basic Policy

CA 00 25

10 13

Auto Dealers Coverage Form

CA 00 01

03 10

Business Auto Coverage Form

IL 00 03

09 08

Calculation Of Premium

CA 04 24

04 06

California Auto Medical Payments Coverage

CA 01 43

05 17

California Changes

IL 02 70

09 12

California Changes - Cancellation And Non-renewal

CA 21 54

11 16

California Uninsured Motorist Coverage - Bodily Injury

CA 21 55

06 10

California Uninsured Motorist Coverage - Property Damage

M2071

(2-98)

Forms And Endorsement Schedule

M2432

(7-99)

Mutual Policy Conditions Endorsement

M2075

(10-02)

Schedule Of Covered Autos You Own

Other Endorsements

CA 25 28

10 13

Abuse or Molestation Exclusion for General Liability Coverages

CA 20 49

10 13

Additional Insured - Garages - Grantor Of Franchise

CA 25 31

10 13

Additional Insured - General Liability - Grantor Of Licenses - Automatic Status When Required by Licensor

CA 25 29

10 13

Additional Insured - General Liability Coverages - Concessionaires Trading Under Your Name

CA 25 30

10 13

Additional Insured - General Liability Coverages - Controlling Interest

CA 25 46

10 13

Additional Insured - General Liability Coverages - Co-Owner of Insured Premises

CA 25 32

10 13

Additional Insured - General Liability Coverages - Grantor of Licenses

CA 25 45

10 13

Additional Insured - General Liability Coverages - Lessor of Leased Equipment - Automatic Status When Required in Lease Agreement With You

CA 20 47

10 13

Additional Insured - Lessor Of Leased Equipment

CA 23 24 10 01 Agricultural Produce Trailers - Seasonal
CA 23 97 03 10 Amphibious Vehicles

M2358

(5-15)

Asbestos And Lead Exclusion Endorsement

CA 99 60

03 10

Audio, Visual And Date Electronic Equipment Coverage

M1705AC

(12-15)

Auto Body Repair Consumer Bill of Rights - California

CA 20 71

10 01

Auto Loan/Lease Gap Coverage - Oregon, Idaho, California

M2293

(5-89)

Blank Endorsement - Manual

CA 25 01

10 13

Broad Form Products Coverage

CA 04 26

03 10

California Drive Other Car Coverage - Broadened Coverage For Named Individuals

CA 04 25

05 07

California Individual Named Insured

M3017AC

(12-02)

California Uninsured Motorist & Collision Deduct Waiver Rejection

M3221

(7-98)

Certificate Of Insurance

M2855A

(8-19)

Commercial Auto Cluster Endorsement

M2853A

(5-12)

Commercial Auto Towing and Labor Cost Coverage Endorsement

M2282

(9-94)

Commercial Policy Change

IL 00 17

11 98

Common Policy Conditions - Oregon, Idaho, California

CA 25 57

10 13

Communicable Disease Exclusion for General Liability Coverages

CA 99 54

07 97

Covered Auto Designation Symbol

CA 25 02

10 13

Dealers Drive Away Collision Coverage

CA 03 02

03 10

Deductible Liability Insurance - Oregon, Washington, California

CA 20 48

10 13

Designated Insured

M2862A

(5-12)

Designated Insured Including Waiver of Transfer of Rights of Recovery Against Others to Us (Waiver of Subrogation)

CA 99 47

03 10

Employee As Lessor

CA 25 48

10 13

Employee Benefits Liability Coverage

CA 20 54

10 01

Employee Hired Autos

CA 99 33

02 99

Employees As Insureds

CA 04 42

03 10

Exclusion of Federal Employees Using Autos in Government Business

CA 25 64

10 13

Exclusion of Specified Acts, Errors or Omissions Liability Coverages

CA 99 40

12 93

Exclusion or Excess Coverage Hazards Otherwise Insured

CA 25 63

10 13

Exclusion - Acts, Errors or Omissions Liability Coverages

CA 25 50

10 13

Exclusion - Damage to Rented Premises

CA 25 51

10 13

Exclusion - Designated Products

CA 25 56

10 13

Exclusion - Designated Work You Performed

CA 25 52

10 13

Exclusion - Locations and Operations Medical Payments

CA 25 53

10 13

Exclusion - Newly Acquired or Formed Auto Dealership

CA 25 54

10 13

Exclusion - Personal and Advertising Injury Liability Coverage

CA 25 55

10 13

Exclusion - Products and Work You Performed

CA 25 24

10 13

Exclusion - Year 2000 Computer-Related And Other Electronic Problems - With Exception For Bodily Injury On Your Premises

CA 25 67

10 13

Extended Reporting Period Endorsement for Employee Benefits Liability Coverage

CA 25 03

10 13

False Pretense Coverage

CA 24 01

12 93

Farm Labor Contractors

CA 20 08

12 93

Farm Tractors - Farm Tractors Equipment

CA 99 13

07 97

Fiduciary Liability Of Banks

CA 99 14

12 93

Fire, Fire And Theft, Fire, Theft And Windstorm And Limited Specified Causes Of Loss Coverage

CA 25 04 10 13 Fire, Fire & Theft & Limited Specified Causes of Loss Coverage For Dealers

CA 03 03

10 13

Five Hundred Dollar ($500) Deductible For Completed Operations Does Not Apply

CA 25 15

10 13

Full Covered Autos Liability Limit for Customers

CA 25 37

10 13

Fungi Or Bacteria Exclusion - Garage Operations - Other Than Coverage Auto - Oregon, Idaho, California

CA 25 16

10 13

Garage Coverage Form - Other Than Covered Auto Exposure - Total Pollution Exclusion

CA 99 37

03 10

Garagekeepers Coverage

CA 99 59

03 10

Garagekeepers Coverage - Customers' Sound Receiving Equipment

CA 04 45

03 10

Golf Carts and Low-Speed Vehicles

CA 99 15

12 93

Governmental Bodies Amendatory Endorsement

CA 99 16

03 10

Hired Autos Specified As Covered Autos You Own

CA 99 17

10 01

Individual Named Insured - California

CA 20 01

03 06

Lessor - Additional Insured And Loss Payee

CA 01 21

02 99

Limited Mexico Coverage

CA 25 07

10 13

Locations And Operations Not Covered

M2483M

(7-01)

Locked Vehicle Endorsement

CA 99 61

03 10

Loss Payable Clause - Audio, Visual And Data Electronic Equipment

CA 99 44

12 93

Loss Payable Clause - Oregon, Idaho, California

CA 20 15

12 04

Mobile Equipment

CA 20 16

10 01

Mobile Homes Contents Coverage

CA 20 17

12 93

Mobile Homes Contents Not Covered

CA 00 20

03 10

Motor Carrier Coverage Form

M0263A

(5-12)

Motor Home, Travel Trailer, Tent Trailer, Trailer Or Camper Endorsement

CA 23 03

12 93

Multi-Purpose Equipment

CA 25 11

10 13

Named Driver Collision Coverage

M2915

(8-19)

Named Driver Exclusion Endorsement

IL 00 21

09 08

Nuclear Energy Liability Exclusion Endorsement (Broad Form) - Oregon, Idaho, California

CA 03 05

02 97

One Hundred Dollar ($100) Deductible For Completed Operations Does Not Apply - California

CA 25 09

10 13

Owners Of Garage Premises

M2854A

(5-12)

Personal Vehicle Sharing Exclusion Endorsement - Oregon, Washington, California

M2833A

(5-12)

Pollution Liability - Broadened Coverage For Covered Autos - Business Auto, Motor Carrier And Truckers Coverage Forms

CA 99 55

10 13

Pollution Liability - Broadened Coverage For Covered Autos - Garage Coverage Form

CA 04 49

11 16

Primary and Noncontributory - Other Insurance Conditions - California

CA 20 18

12 93

Professional Services Not Covered

CA 24 02

12 93

Public Transportation Autos

CA 20 27

02 99

Registration Plates Not Issued For A Specific Auto

CA 02 38

03 10

Reinstatement Of Insurance

CA 99 23

03 10

Rental Reimbursement Coverage

CA 20 19

03 10

Repossessed Autos

CA 23 04

10 01

Rolling Stores

CA 25 39 10 13 Silica or Silica Related Dust Exclusion For Other Than Covered Autos Exposure - Garage Coverage Form

CA 20 21

07 97

Snowmobiles

CA 99 34

12 93

Social Services Agencies - Volunteers As Insureds

CA 20 02

03 10

Sound Receiving Equipment Coverage - Fire, Police & Emergency Vehicles

CA 99 28

03 10

Stated Amount Insurance

CA 02 40

03 10

Suspension Of Insurance

CA 99 30

03 10

Tapes, Records And Discs Coverage

CA 23 98

03 10

Trailer Interchange Coverage

CA 23 13

03 10

Trailer Interchange Fire And Fire And Theft Coverages

FORM E

01 07

Uniform Motor Carrier BI & PD Liability Certificate Of Insurance

FORM F

01 07

Uniform Motor Carrier Bi & Pd Liability Endorsement

CA 04 44

03 10

Waiver of Transfer of Rights of Recovery Against Others to Us (Waiver of Subrogation)

CA 23 05

12 93

Wrong Delivery Of Liquid Products

 

 

 

 

 

 

Forms Library | Sample Contract Forms