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POLICY NUMBER: CPP 0105807 04 COMMERCIAL GENERAL LIABILITY CG 04 35 12 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMPLOYEE BENEFITS LIABILITY COVERAGE THIS ENDORSEMENT PROVIDES CLAIMS -MADE COVERAGE. PLEASE READ THE ENTIRE ENDORSEMENT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Coverage Limit Of Insurance Each Employee Deductible Premium Employee Benefits Programs $ 1,000,000 each employee $ 1,000. $INCLUDED $ 1,000,000 aggregate Retroactive Date: 01 /17/2017 Information re uired to complete this Schedule if not shown above will be shown in the Declarations. A. The following is added to Section I - Cover- ages: COVERAGE - EMPLOYEE BENEFITS LIABILITY 1. Insuring Agreement a. We will pay those sums that the in- sured becomes legally obligated to pay as damages because of any act, error or omission, of the insured, or of any other person for whose acts the in- sured is legally liable, to which this in- surance applies. We will have the right and duty to defend the insured against any "suit" seeking those damages. However, we will have no duty to de- fend the insured against any "suit" seeking damages to which this insur- ance does not apply. We may, at our discretion, investigate any report of an act, error or omission and settle any "claim" or "suit" that may result. But: (1) The amount we will pay for dam- ages is limited as described in Para- graph D. (Section III - Limits Of In- surance); and (2) Our right and duty to defend ends when we have used up the applica- ble limit of insurance in the pay- ment of judgments or settlements. No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under Supplementary Payments. b. This insurance applies to damages only if: (1) The act, error or omission, is negli- gently committed in the "admin- istration" of your "employee benefit program"; (2) The act, error or omission, did not take place before the Retroactive Date, if any, shown in the Schedule nor after the end of the policy peri- od; and (3) A "claim" for damages, because of an act, error or omission, is first made against any insured, in accor- dance with Paragraph c. below, during the policy period or an Ex- tended Reporting Period we provide under Paragraph F. of this endorse- ment. c. A "claim" seeking damages will be deemed to have been made at the ear- lier of the following times: (1) When notice of such "claim" is re- ceived and recorded by any insured or by us, whichever comes first; or (2) When we make settlement in accor- dance with Paragraph a. above. A "claim" received and recorded by the insured within 60 days after the end of the policy period will be considered to have been received within the policy period, if no subsequent policy is avail- able to cover the claim. d. All "claims" for damages made by an "employee" because of any act, error or omission, or a series of related acts, CG 04 35 12 07 Copyright, ISO Properties, Inc., 2006 Wolters Kluwer Financial N_oaa ?9 'e'' } z a RJAMwaganadDivisiun REVIEWED & APPROVED BY.- F P1. WZ44441 Risk Management Analyst