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<br />SELF-INSURED EXCESS <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />CONTRACTORS XTEND ENDORSEMENT <br /> <br />This endorsement modifies insurance provided under the following: <br />SELF-INSURED EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br /> <br />GENERAL DESCRIPTION OF COVERAGE - Provisions A-H. and J.-N. of this endorsement broaden <br />coverage, and provision I. of this endorsement may limit coverage. The following listing is a general coverage <br />description only. limitations and exclusions may apply to these coverages. Read all the PROVISIONS of this <br />endorsement carefully to determine rights, duties, and what is and is not covered. <br /> <br />A Broadened Named Insured G. Contractual liability - Railroads <br />B. Extension of Coverage - Damage To Premises H. Additional Insured - State or Political Subdivisions <br />Rented To You <br />. Perils of fire, explosion, lightning, smoke, water <br />. limit increased to $300,000 <br />C. Blanket Waiver of Subrogation <br /> <br />I. Other Insurance Condition <br />J. Knowledge and Notice of Occurrence or Offense <br />K. Unintentional Omission . <br /> <br />D. Blanket Additional Insured - Managers or lessors <br />of Premises <br /> <br />L. Personal Injury - Assumed by Contract <br /> <br />M. Blanket Additional Insured -Lessor of leased <br />Equipment <br /> <br />E. Incidental Medical Malpractice <br />F. Extension of Coverage - Bodily Injury <br /> <br />PROVISIONS <br /> <br />A BROADENED NAMED INSURED <br /> <br />1. The Named Insured in Item 1. of the Declarations is as follows: <br /> <br />The person or organization named in Item 1. of the Declarations and any organization, other than a <br />partnership, joint venture or limited liability company, of which you maintain ownership or in which you <br />maintain the majority interest on the effective date of the policy. However, coverage for any such <br />additional organization will cease as of the date, If any. during the policy period, that you no longer <br />maintain ownership of, or the majority interest in, such organization. <br /> <br />2. WHO IS AN INSURED (Section II) Item 4.a. is deleted and replaced by the following: <br /> <br />a. Coverage under this provision is afforded only until the 1 BOth day after you acquire or form the <br />organization or the end of the policy period, whichever is earlier. <br /> <br />3. This Provision A does not apply to any person or organization for which coverage is excluded by <br />endorsement. <br /> <br />B. EXTENSION OF COVERAGE - DAMAGE TO PREMISES RENTED TO YOU <br /> <br />1. The last paragraph of COVERAGE A. BODilY INJURY AND PROPERTY DAMAGE LIABILITY (Section <br />I - Coverages) is deleted and replaced by the following: <br /> <br />Exclusions c. through n. do not apply to damage to premises while rented to you, or temporarily <br />occupied by you with permission of the owner, caused by: <br /> <br />a. Fire; <br /> <br />b. Explosion; <br /> <br />c. lightning; <br /> <br />d. Smoke resulting from such fire, explosion, or iightning; or <br /> <br />e. Water. <br /> <br />A separate limit of insurance applies to this coverage as described in Section lit limits Of Insurance. <br /> <br />2. This insurance does not apply to damage to premises while rented to you, or temporariiy occupied by <br />you WITh permission of the owner, caused by: <br /> <br />a. Rupture, bursting, or operation of pressure relief devices; <br /> <br />b. Rupture or bursting due to expansion or swelling of the contents of any building or structure, caused <br />by or resulting from water; <br /> <br />EX G3 74 0106 <br /> <br />@2006, The St Paul Travelers Companies, Inc. <br /> <br />Page 1 at 5 <br />