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PI-GLD-HS (10/11) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br />GENERAL LIABILITY DELUXE ENDORSEMENT: <br />HUMAN SERVICES <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE <br />It is understood and agreed that the following extensions only apply in the event that no other specific coverage for <br />the indicated loss exposure is provided under this policy. If such specific coverage applies, the terms, conditions and <br />limits of that coverage are the sole and exclusive coverage applicable under this policy, unless otherwise noted on <br />this endorsement. The following is a summary of the Limits of Insurance and additional coverages provided by this <br />endorsement. For complete details on specific coverages, consult the policy contract wording. <br />Page <br />Limited Rental Lease Agreement Contractual Liability $50,000 limit 2 <br />Non -Owned Watercraft Less than 58 feet 2 <br />Damage to Property You Own, Rent, or Occupy $30,0001imit 2 <br />Damage to Premises Rented to You $1.000 00n a <br />Medical Payments - Extended Reportinq Period <br />,...... . ......... y , ..... <br />Supplementary Payment - Loss of Earnings <br />Employee Indemnification Defense Coverage <br />Key and Lock Replacement - Janitorial Servi <br />Additional Insured - Newly Acquired Time Pe <br />Additional Insured - Medical Directors and Ac <br />Additional Insured - Managers and Supervise <br />Employee Coverage) <br />Additional Insured - Broadened Named Insur <br />Additional Insured - Funding Source <br />Additional Insured - Home Care Providers <br />Additional Insured - Managers, Landlords, or <br />Additional Insured - Lessor of Leased Equipn <br />Additional Insured - Grantor of Permits <br />Additional Insured - Vendor <br />Additional Insured - Franchisor <br />Additional Insured - When Required by Contr <br />Additional Insured - Owners, Lessees, or Cor <br />Additional Insured - State or Political Subdi0 <br />Client <br />Premises <br />3 years <br />,000 per da; <br />$25,000 <br />10,000 limit <br />Included <br />Included <br />4 <br />5 <br />5 <br />5 <br />5 <br />5 <br />M <br />.s�,y-,,,, RldcMmrg�t])yWan. <br />iEwm&APPRov Eh- <br />'�RE <br />' S+cawwilfc (µr,ir�Y <br />mil'. <br />® R6k Managemen[Supervua <br />Page 1 of 12 <br />Includes copyrighted material of Insurance Services Office, Inc., with its permission. <br />© 2011 Philadelphia Indemnity Insurance Company <br />