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"81 *05/24/2024*GLP 3961460 03 00 Great American Assurance Company <br /> *DB* 072977484 262428 <br /> Backhaus Dance 24-25 CG 89 70 (Ed. 11114) <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> SIGNATURE GENERAL LIABILITY BROADENING ENDORSEMENT <br /> This Endorsement modifies and is subject to the insurance provided under the following form: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> The following extension only applies in the event that no other specific coverage for the indicated loss <br /> exposure is provided under this Policy. If other specific coverage applies, the terms, conditions and <br /> limits of that Coverage are the exclusive coverage applicable under this Policy, unless otherwise noted in <br /> this Endorsement. This is a summary of the various additional coverages and coverage modifications <br /> provided by this Endorsement. For complete details on specific coverages, consult the actual policy <br /> wording. <br /> Coverage Description Limit of Insurance Page <br /> Non-Owned Aircraft Included 2 <br /> Non-Owned Watercraft Included 2 <br /> Bodily Injury - Mental Injury, Mental Anguish, Humiliation or Shock Included 3 <br /> Medical Payments $ 20,000 3 <br /> Damage to Premises Rented to You $ 1,000,000 3 <br /> Supplementary Payments - Bali Bonds $ 3,000 4 <br /> Supplementary Payments - Loss of Earnings $ 1,000 per day 4 <br /> Newly Formed or Acquired Organizations Included 4 <br /> Unintentional Failure to Disclose Hazards Included 5 <br /> Knowledge of Occurrence, Claim or Suit Included 5 <br /> Property Damage Liability - Elevators Included 5 <br /> Property Damage Liability - Borrowed Equipment Included 5 <br /> Liberalization Clause Included 6 <br /> Amendment of Pollution Exclusion (Premises) Included 6 <br /> Limited Property Damage to Property of Others $ 6,000 6 <br /> Additional Insured - Manager or Lessor of Premises Included 7 <br /> CG 8 9 7 0 (Ed. 11114) (Page 1 of 12) <br />