MEALS ON WHEELS ORANGE COUNTY (COMMUNITY SENIORSERV, INC.)

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PI-GLD-HS (10/11) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY GENERAL LIABILITY DELUXE ENDORSEMENT: HUMAN SERVICES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE It is understood and agreed that the following extensions only apply in the event that no other specific coverage for the indicated loss exposure is provided under this policy. If such specific coverage applies, the terms, conditions and limits of that coverage are the sole and exclusive coverage applicable under this policy, unless otherwise noted on this endorsement. The following is a summary of the Limits of Insurance and additional coverages provided by this endorsement. For complete details on specific coverages, consult the policy contract wording. Coverage Applicable Extended Property Damage Limited Rental Lease Agreement Contractua Non -Owned Watercraft Damage to Property You Own, Rent, or Occ Damage to Premises Rented to You HIPAA Medical Payments Medical Payments — Extended Reporting Pe Athletic Activities Supplementary Payments — Bail Bonds Supplementary Payment — Loss of Earnings Key and Lock Replacement —Janitorial Services Client Coverage Additional Insured — Newly Acquired Time Period Additional Insured — Medical Directors and Administrators Additional Insured — Managers and Supervisors (with Fellow Employee Coverage) Additional Insured —Broadened Named Insured Additional Insured — Funding Source Additional Insured — Home Care Providers Additional Insured — Managers, Landlords, or Lessors of Premise: Additional Insured — Lessor of Leased Equipment Additional Insured — Grantor of Permits Additional Insured — Vendor Additional Insured — Franchisor Additional Insured — When Required by Contract Additional Insured — Owners, Lessees, or Contractors Additional Insured — State or Political Subdivisions $50,000limit 2 :ss than 58 feet 2 $30,000limit 2 $1,000,000 3 Clarification 4 $20,000 5 3 years 5 Amended 5 $5,000 5 1,000per day 5 $25,000 5 $10,000limit 6 Amended 6 Included 7 Included 7 Included 7 Included 7 Included Included Included Included Included Included Included Included Page 1 of 12 Includes copyrighted material of Insurance Services Office, Inc., with its p © 2011 Philadelphia Indemnity Insurance Company RiskMmugenvdDMaian Rene &APPR 13Y. A- fi A&N44 R6k Management SpeaAw