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Kimco Staffing Services, Inc. <br />Policy Number: PHPK2599195 <br />Policy Term: September 1, 2023 - September 1, 2024 <br />PI-MANU-1 (01/00) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br />Liability Deluxe Temporary Staffing <br />PI-GLD-TS (11/15) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />GENERAL LIABILITY DELUXE ENDORSEMENT: TEMPORARY STAFFING <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />It is understood and agreed that the following extensions only apply in the <br />event that no other specific coverage for the indicated loss exposure is <br />provided under this policy. If such specific coverage applies, the terms, <br />conditions and limits of that coverage are the sole and exclusive coverage <br />applicable under this policy, unless otherwise noted on this endorsement. <br />The following is a summary of the Limits of Insurance and additional <br />coverage provided by this endorsement. For complete details on specific <br />coverages, consult the policy contract wording. <br />Coverage Applicable Limit <br />of Insurance <br />Page# <br />Damage to Premises Rented to You <br />$1,000,000 <br />2 <br />Expected or Intended Injury - Property Damage <br />Included <br />2 <br />Limited Rental Lease Agreement Contractual Liability <br />$50,000 <br />2 <br />Non -Owned Watercraft Less <br />than 58 feet <br />3 <br />Damage to Property You Own, Rent or Occupy <br />$30,000 <br />3 <br />Medical Payments <br />$20,000 <br />3 <br />Medical Payments Reporting Period <br />3 Years <br />3 <br />Athletic Activities <br />Amended <br />3 <br />Supplementary Payments - Bail Bonds <br />$2,500 <br />4 <br />Supplementary Payments - Loss of Earnings <br />$500 per day <br />4 <br />Employee Indemnification Defense Coverage <br />$25,000 <br />4 <br />Who Is An Insured <br />Included <br />4 <br />Additional Insured - Newly Acquired or Formed <br />Organization <br />Additional Insured - Broadened Named Insured <br />Additional Insured - Blanket Additional Insureds When Required <br />by Contract <br />Duties in the Event of Occurrence, Offense, Claim or Suit Included 5 <br />Transfer of Rights of Recovery Against Others To Us Clarification 5 <br />Liberalization Included 5 <br />All other terms and conditions of this Policy remain unchanged. RiskMamgementDMsian <br />s �} REVIEWED & APPROVED BY: <br />� tq� t�ceve�Z <br />® Risk Management Specialist <br />Page 1 of 12 <br />