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INSURED: SCAN Group <br />POLICY #: PHPU574081019 <br />POLICY PERIOD: 07r012024 TO 071012025 <br />PI-GLD-HS (1(Y11) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />GENERAL LIABILITY DELUXE ENDORSEMENT: <br />HUMAN SERVICES <br />This endomenient motliffms insuran ce provided amp the dellloMng: <br />COMMERCIAL GENERAL LIABILITY COVERAGE <br />It is unders'mod and agreed that ulna follonming extensions an apply in the event dust no cMter speciFo coverage foc <br />the indicated loss exposure is ,provided under dais policy_ 11'such specific coverage applies, the terms, conditons and <br />limits of1hat mwerage am the sole and exclusive ooverage appiloahle under iris policy, unless otherwise noted on <br />this endcrsement. The Fo bownng is a summary of the Limits of Insurance and additional ou wages provided bytnis <br />endorsement. For completedeta:ils an specific c wages, consult The policy condractwrding. <br />Coverage Applicable <br />Limit of Insurance <br />Page <br />Eidended Property Damage <br />Ina&oded <br />2 <br />Limited Rental Lease Agreement Contractual Liability <br />$500300limed <br />2 <br />W5 Owned Watercraft <br />Lem than 59 feet <br />2 <br />Damage to IPrcioerlyYou Own, Rent or Occupy <br />$313,900 liamit <br />2 <br />Damage to Premises Rented to You <br />$1.cm'coa <br />3 <br />HIPAA <br />Clarificallon <br />+4 <br />Medcal Payments <br />3213,01[lD <br />5 <br />Medical Payments— EvIended Reporting Period <br />3yeals <br />9 <br />Athbedc ActigWes <br />Amended <br />5 <br />Supplementary Payments —Bag Bonds <br />S5,0110 <br />5 <br />Supplementary Payment —Loss cif Earnings <br />$1,DODperday <br />5 <br />Emploryee I ndernmITcatan Defense Caoerage <br />325,DD© <br />5 <br />1,ey and Lock Repfacemem—Jaridonal Ser-Ams; Client Cweraye <br />$10,00D. tieutid <br />e <br />Additional! .Insured — Newfy Acquired'. Time Period <br />Amended <br />5 <br />Additional' Insured —Medical Directors and Administrators <br />Included <br />7 <br />Additional Insured —Managers and Supervisors {nigh Fellow <br />Emplailee Comsrzget <br />Included <br />7 <br />Additional insured —Broadened Named, Insured <br />Included <br />7 <br />Additional'ilnsured—Funding Souroe <br />Included <br />7 <br />Addilonall iInsuured— Horne Care Pro4dders <br />Included <br />7 <br />Additional'llnsuaed—Managers, Landlords, or Lessors of Premises <br />Included <br />7 <br />Additionalllnsu;med— Lessor of Leased Equipment <br />IndUded <br />7 <br />Addide4lall Insured— Cmanpor of Permits <br />Included <br />8 <br />Additionall Insured-1dendor <br />Included <br />8: <br />Additional Insured —Fra obism <br />Included <br />E <br />Addifmnall Insured —'u 'hen Required by Contract <br />Included <br />g <br />Additional '.Insured — L'tvners, Lessees,. or Contnactors <br />included <br />4 <br />Additonal',Insumd— Stine or Pcllitiral Suhdrgsions <br />Included <br />in <br />Page 1 of 12 <br />Incbdes cajojOghted material of Insurance Services Office, Inc., with Its pemiission. <br />@ 2011 Philadelphia Indemnity Insurance Company <br />