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Policy #PHPK2219413 <br />PI-GLD-HS(10/11) <br />THISENDORSEMENTCHANGESTHEPOLICY.PLEASEREADITCAREFULLY. <br />GENERALLIABILITYDELUXEENDORSEMENT: <br />HUMANSERVICES <br />Thisendorsementmodifiesinsuranceprovidedunderthefollowing: <br />COMMERCIALGENERALLIABILITYCOVERAGE <br />Itisunderstoodandagreedthatthefollowingextensionsonlyapplyintheeventthatnootherspecificcoveragefor <br />theindicatedlossexposureisprovidedunderthispolicy.Ifsuchspecificcoverageapplies,theterms,conditionsand <br />limitsofthatcoveragearethesoleandexclusivecoverageapplicableunderthispolicy,unlessotherwisenotedon <br />thisendorsement.ThefollowingisasummaryoftheLimitsofInsuranceandadditionalcoveragesprovidedbythis <br />endorsement.Forcompletedetailsonspecificcoverages,consultthepolicycontractwording. <br />CoverageApplicableLimitofInsurancePage# <br />ExtendedPropertyDamageIncluded2 <br />LimitedRentalLeaseAgreementContractualLiability$50,000limit2 <br />Non-OwnedWatercraftLessthan58feet2 <br />DamagetoPropertyYouOwn,Rent,orOccupy$30,000limit2 <br />DamagetoPremisesRentedtoYou$1,000,0003 <br />HIPAAClarification4 <br />MedicalPayments$20,0005 <br />MedicalPayments P ExtendedReportingPeriod3years5 <br />AthleticActivitiesAmended5 <br />SupplementaryPayments P BailBonds$5,0005 <br />SupplementaryPayment P LossofEarnings$1,000perday5 <br />EmployeeIndemnificationDefenseCoverage$25,0005 <br />KeyandLockReplacement P JanitorialServicesClientCoverage$10,000limit6 <br />AdditionalInsured P NewlyAcquiredTimePeriodAmended6 <br />AdditionalInsured P MedicalDirectorsandAdministratorsIncluded7 <br />AdditionalInsured P ManagersandSupervisors(withFellowIncluded7 <br />EmployeeCoverage) <br />AdditionalInsured P BroadenedNamedInsuredIncluded7 <br />AdditionalInsured P FundingSourceIncluded7 <br />AdditionalInsured P HomeCareProvidersIncluded7 <br />AdditionalInsured P Managers,Landlords,orLessorsofPremisesIncluded7 <br />AdditionalInsured P LessorofLeasedEquipmentIncluded7 <br />AdditionalInsured P GrantorofPermitsIncluded8 <br />AdditionalInsured P VendorIncluded8 <br />AdditionalInsured P FranchisorIncluded9 <br />AdditionalInsured P WhenRequiredbyContractIncluded9 <br />AdditionalInsured P Owners,Lessees,orContractorsIncluded9 <br />AdditionalInsured P StateorPoliticalSubdivisionsIncluded10 <br />Page1of12 <br />IncludescopyrightedmaterialofInsuranceServicesOffice,Inc.,withitspermission. <br />©2011PhiladelphiaIndemnityInsuranceCompany <br /> <br />