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Philadelphia Indemnity Insurance Company <br /> PI-GLD-VS (05/17) <br /> are amended as follows: <br /> 1. The limit for the cost of bail bonds is changed from $250 to$2,500; and <br /> 2. The limit for loss of earnings is changed from $250 a day to$500 a day. <br /> E. Medical Payments -Limit Increased to $15,000, Extended Reporting Period <br /> If COVERAGE C MEDICAL PAYMENTS is not otherwise excluded from this Coverage Part: <br /> 1. The Medical Expense Limit is changed subject to all of the terms of SECTION III -LIMITS OF <br /> INSURANCE to the greater of: <br /> a. $15,000; or <br /> b. The Medical Expense Limit shown in the Declarations of this Coverage Part. <br /> 2. SECTION I —COVERAGE, COVERAGE C MEDICAL PAYMENTS, Subsection 1. Insuring <br /> Agreement, the second part of Paragraph a. is amended to read: <br /> provided that: <br /> (2) The expenses are incurred and reported to us within three years of the date of the accident; <br /> F. Employee Indemnification Defense Coverage <br /> Under the SUPPLEMENTARY PAYMENTS -COVERAGES A AND B provision, the following is <br /> added: <br /> 3. We will pay, on your behalf, defense costs incurred by an "employee" in a criminal proceeding. <br /> The most we will pay for any"employee"who is alleged to be directly involved in a criminal <br /> proceeding is$25,000 regardless of the numbers of"employees", claims or"suits" brought or <br /> persons or organizations making claims or bringing "suits". <br /> G. SECTION II -WHO IS AN INSURED is amended as follows: <br /> 1. If coverage for newly acquired or formed organizations is not otherwise excluded from this <br /> Coverage Part, Paragraph 3.a. is changed to read: <br /> a. Coverage under this provision is afforded until the end of the policy period. <br /> 2. Each of the following is also an insured: <br /> a. Medical Directors and Administrators -Your medical directors and administrators, but only <br /> while acting within the scope of and during the course of their duties as such. <br /> b. Managers and Supervisors -If you are an organization other than a partnership or joint <br /> venture, your managers and supervisors are also insureds, but only with respect to their duties <br /> as your managers and supervisors. <br /> c. Broadened Named Insured -Any organization and subsidiary thereof which you control and <br /> actively manage on the effective date of this Coverage Part. However, coverage does not <br /> apply to any organization or subsidiary not named in the Declarations as Named Insured, if they <br /> are also insured under another similar policy, but for its termination or the exhaustion of its limits <br /> of insurance. <br /> d. Funding Source-Any person or organization with respect to their liability Risk MaragenattDivision <br /> (1)Their financial control of you; or _ REVIEWED&APPROVED BY: <br /> PI-GLD-VS (05/17) AU F_' #s. €Auvih <br /> Page 3 of 9 ® <br /> g Risk Management Specialist <br /> Includes copyrighted material of Insurance Services Office, Inc., with its p,/ <br />