To unlock the Cut Out The Middle Man trophy in American Fugitive, you will need to run over 10 civilians whilst driving a hearse in 60 seconds.
You can buy a hearse from the car dealer, or steal one if you see it on the street, at a cemetery or funeral home. Once you have one, look for places where there are groups of people. A cemetery is a good place, also areas with a few shops close together, the trailer park is useful.
Once you have the hearse, just run over 10 people within the 60 seconds and the trophy will unlock.