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POLICY NUMBER:COMMERCIAL GENERAL LIABILITY DQW1164694 CG 03 00 01 96 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DEDUCTIBLE LIABILITY INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Coverage Amount and Basis of Deductible PER CLAIM orPER OCCURRENCE Bodily Injury Liability$611$ OR Property Damage Liability$611$ OR Bodily Injury Liability and/or$$ Property Damage Liability Combined (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) APPLICATION OF ENDORSEMENT (Enter below any limitations on the application of this endorsement. If no limitation is entered, the deductibles apply to damages for all "bodily injury" and "property damage", however caused): A.Our obligation under the Bodily Injury Liability andb.Under Property Damage Liability Cover- Property Damage Liability Coverages to payage, to all damages sustained by any one damages on your behalf applies only to theperson because of "property damage"; or amount of damages in excess of any deductible c.Under Bodily Injury Liability and/or Property amounts stated in the Schedule above as appli- Damage Liability Coverage Combined, to cable to such coverages. all damages sustained by any one person B.You may select a deductible amount on either abecause of: per claim or a per "occurrence" basis. Your se- (1)"Bodily injury"; lected deductible applies to the coverage option (2)"Property damage"; or and to the basis of the deductible indicated by the placement of the deductible amount in the (3)"Bodily injury" and "property damage" Schedule above. The deductible amount stated in combined the Schedule above applies as follows: as the result of any one "occurrence". 1.PER CLAIM BASIS. If the deductible amount If damages are claimed for care, loss of serv- indicated in the Schedule above is on a per ices or death resulting at any time from "bodily claim basis, that deductible applies as follows: injury", a separate deductible amount will be a.Under Bodily Injury Liability Coverage, to applied to each person making a claim for all damages sustained by any one person such damages. because of "bodily injury"; With respect to "property damage", person in- cludes an organization. CG 03 00 01 96Copyright, Insurance Services Office, Inc., 1994Page1 of 2‽‽