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POLICY NUMBER: Y-630-6J492624-TCT-21 <br />COMMERCIAL GENERAL LIABILITY <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />XTEND ENDORSEMENT FOR MANUFACTURERS AND <br />WHOLESALERS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL. GENERAL LIABILITY COVERAGE PART <br />GENERAL DESCRIPTION OF COVERAGE -This endorsement broadens coverage. However, coverage for any <br />injury, damage or medical expenses described In any of the provisions of this endorsement may be excluded or <br />limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to <br />the extent that coverage is excluded or limited by such an endorsement. The following listing is a general <br />coverage description only. Read all the provisions of this endorsement and the rest of your policy carefully to <br />determine rights, duties, and what is and is not covered. <br />A. Who Is An Insured -Unnamed Subsidiaries <br />B. Who Is An Insured Employees And Volunteer <br />Workers.- Bodily Injury To Co -Employees And <br />Cc -Volunteer Workers <br />C. Who Is An Insured - Newly Acquired Or Formed <br />Limited Liability Companies <br />D. Blanket Additional Insured- Broad Form Vendors <br />E. Blanket Additional Insured-ControllingInterest <br />F. Blanket Additional Insured - Mortgagees, <br />Assignees, Successors Or Receivers <br />G. Blanket Additional Insured Governmental <br />Entities Permits Or Authorizations Relating To <br />Premises <br />PROVISIONS <br />A WHAT IS AN INSURED UNNAMED <br />SUBSIDIARIES <br />The following is added to SiEGTioN II - WHO Is <br />ANINSURED: <br />Any of your subsidiaries, other than a partnership <br />or joint venture, that is not shown as a Named <br />Insured in the Declarations is a Named Insured if: <br />a. You are the sofa owner of, or maintain an <br />ownership interest of more than 50% in, such <br />subsidiary on the first day of the policy period: <br />and <br />b. Such subsidiary Is not an insured under <br />similar other insurance. <br />No such subsidiary is an Insured for "bodify injury" <br />or "property damage" 'that occurred, or "personal <br />and advertising injury, caused by an offense <br />committed: . <br />H. Blanket Additional Insured Governmental <br />Entities - Permits Or Authorizations Relating To <br />Operations <br />I. Blanket Additional Insured Grantors Of <br />.Franchises <br />J. Incidental Medical Malpractice <br />K. Medical Payments Increased Limit <br />L. Blanket Waiver Of subrogation <br />M. Contractual Liability -Railroads <br />a. Before you maintained an ownership interest <br />Of more than 50% in such Subsidiary;. or <br />h. After the date, if any, during the policy period <br />that you no longer maintain an ownership <br />interest of more than 50% 1n such subsidiary. <br />For purposes of Paragraph 1. of Section 11- Who <br />Is An Insured, each such subsidiary will be <br />deemed to be designated In the Declarations as: <br />a. Alfmitedliability company; <br />b. An organization other than a partnership, joint <br />venture or limited liability company: or <br />c. Atrust <br />as indicated in its name or the documents that <br />govern its structure: <br />CG'D4 58 02 19 � 20t 7 The Travelers lndemn Cam x 1c `Msnagg��xe.,tDi on <br />nY pant' All rights reserved. / r (R�WEWED&APPROVEDev: <br />Includes copyrighted material of Insurance Sew1ces Once, Inc. with its permission �t® r1 ['4m,4$4 P, vauwl <br />V Risk Management Analyst <br />