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<br />( <br /> <br />PI-NP-003 (5101) <br /> <br />A. Medical F'IIr/mfIU <br />If Medical Payments Cover1lge (C~ C.) Is not IlIherwIse excluded from this Cover1lge Part: <br />1. The Medical Expense Limit Is changed sul1lect to all the terms of Limits Of Insurance (Section III) <br />to the greater of: <br />a. $15,000; Of" <br />b. The Medical Expense Limit shown In the Declarations of this Coverage Part. <br />2. The requirement In the Insuring Agreemert of Coverage C., that expenses must be Il1CUI1'ed and <br />reported to us within "one year" of the acddent date Is changed to "lIYee years, " <br />3. Exclusion a. of Cover1lge C. at 'jf>>: option, does not apply to :;our wiunteer workers or I1II'J <br />per.;on or organization lI1der 'jf>>: direct supervision and COI1Irol. <br /> <br />B. SlppllIIlIriay ~ <br />In the Supplementary Payments . COIIllrllgIlS A. and B. provlslon: <br />1. The limit for the cost of ball 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 /> <br />C,. .Flr" LI!tmI~Expkl8011, &ook._L"'fran~lnlde"8 . . <br />If damage by fire to premises rented to you Is not otherwise excluded from this Coverage Part, the <br />Wllfd "fire" Is changed to "fire, ligtming, exploslon. smoke, or leakage from automatic fire protective <br />systems" where it appears In: <br />1. The limits Of Insurance section of the Declllnlllons as the Fire Damage Limit. Thalllmit: <br />a. Is changed sul1lect to all the terms of limit Of Insurance (Section Ill) to the l1eater of: <br />(1.) $300,000; or <br />(2.) The arnotB1l shown in the declllnlllons as the Fire Damage limit. <br />b. Subject to a. above Is the most we will pay to all damage proximately caused by the same <br />evert. whether such damage results from fire, li!tllnlng, explosion, smoke, or leaks from <br />aJtOmatic fire protective systems or I1II'J combination thereof. <br />2. The last parilQl1llil of Coverage A. (Section I) after the EXClusions; <br />3. Paragraph 6. of Limits of Insurance (SectIon III); <br />4. Paragraph b.(1)(b) of the Other Insurance Condltlon (SectIon IV): and <br />5. Paragraph a. of the defmltlon of "Insured contract" <br /> <br />0, Who IsAn IllIUI"ed <br />Who Is An Insured (Section II) is changed as follows: <br />1. If coverage for newly acquired or formed organizations Is not IlIherwlse excluded from lhls <br />Coverage Part. paragraph 4.a Is changed to read: <br />a. Coverage lI1der this provision Is afforded urtllthe end of the policy period. <br />2. Each of the following Is also an Insured: <br />a. At the first Named Insured's option, your wluriteer workers; and <br />b, YlU" medical directors and administrators, but only while acting within the scope of and dtJ"ing <br />the course of their duties as such. Such dtAles do not inclUde the lUnishlng or failure to <br />furnish professional 5efV.ices of any physk:ian or psyd)iatrist IMhetreatment of a patiert. <br />c. At the first Named Insured's option, any per.;on or organization II1der 'JOlX direct supervision <br />and contro/ while providing for you private home respite Of" foster home care for the <br />developmentally disabled. However, the Insurance afforded by b. above Is excess over any <br />other Insurance covering any per.;on or organization lI1der :;our direct control or supervision. <br />d. If you are an organlzallon other lhan a partnership or joint WIttKe, yoor managers and <br />supervisors are also Insufeds, but only with respect to their duties as yoor managers and <br />supervisors. <br />e, Ivry organization and subsidiary thereof which you control and actively manage on the <br />effective date of this Cover1lge Part. <br />However, the insurance afforded by e. above, for any organization and subsidiary thereof not <br />named In the DeclaratiOns as a Named Ill5II"ed, does not apply to ''lIUI)' or damage with respect <br />to which an insured under this Coverage Part Is also an insured under another policy, or would be <br />an insured under such policy but for its termination or the exhaustiOn of Its limits of insurance. <br /> <br />':c.' AS TO FO:: <br /> <br />Page2of5 <br />Includes ccpyrighI malerlaI d lhe IIl5lI"lIrlClI services Off"Ia!. Inc. USEd with its permlssion. <br /> <br />~.1Z;t: <br /> <br />.tt SL.::.e..J: <br /> <br />,-:'~tv At <br />