Named Driver Exclusion Endorsement LinkedInThis field is for validation purposes and should be left unchanged.NAMED DRIVER EXCLUSION ENDORSEMENT In consideration of the continuation of this Policy at the premium charged, it is agreed that all coverages, including Bodily Injury and Property Damage Liability, Combined Single Limit Liability, Medical Payments, Coverage for Damage to Your Auto, Uninsured Motorists Coverage, Underinsured Motorists Coverage and Personal Injury Protection Coverage, where applicable, are not afforded by this Policy while any vehicle is driven or operated, with or without permission, by the person named below:Name of Excluded DriverDate of BirthRelationship to InsuredAll other parts of this policy remain unchanged. The Named Insured accepts this endorsement and confirms that acceptance as witness his/her signature.Signature/Acceptance of Named InsuredYour NameYour NameYour NameYour NameDate Signature/Acceptance of Named InsuredYour NameYour NameYour NameYour NameDate The driver excluded from coverage hereby acknowledges and agrees to the exclusion set forth herein, as witness his/her signature.Signature/Acceptance of Excluded DriverYour NameYour NameYour NameYour NameDate Signature/Acceptance of Excluded DriverYour NameYour NameYour NameYour NameDate
