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PI-NP-003 (9/03) <br />A. Medical Payments <br />If Medical Payments Coverage (Coverage C.) is not otherwise excluded from this Coverage Part: <br />1. The Medical Expense Limit Is changed subject to all the terms of Limits Of insurance (Section i11) <br />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. The requirement in the Insuring Agreement of Coverage C., that expenses must be incurred and <br />reported to us within "one year" of the accident date is changed to"three years." <br />3. Exclusion a. of Coverage C. at your option, does not apply to your volunteer workers or any <br />person or organization under your direct supervision and control. <br />B. Supplementary Payments <br />In the Supplementary Payments - Coverages A. and B. provision: <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 />C. Eire, Lightning, Explosion, Smoke and Leaks from Sprinklers <br />If damage by fire to premises rented to you is not otherwise excluded from this Coverage Part, the <br />word " fire" is changed to "fire, lightning, explosion, smoke, or leakage from automatic fire protective <br />systems" where it appears in: <br />1. The Limits Of insurance section of the Declarations as the Fire Damage Limit. That limit: <br />a. Is changed subject to all the terms of Limit Of insurance (Section Ili) to the greater of: <br />(1.) $300,000; or <br />(2.) The amount shown in the declarations 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 />event, whether such damage results from fire, lightning, explosion, smoke, or leaks from <br />automatic fire protective systems or any combination thereof. <br />2. The last paragraph of Coverage A. (Section i) after the Exclusions; <br />3. Paragraph 6. of Limits of Insurance (Section Ill); <br />4. Paragraph b.(1)(b) of the Other Insurance Condition (Section NO; and <br />5. Paragraph a. of the definition of "insured contract' <br />D. Who Is An Insured <br />Who is An Insured (Section 11) is changed as follows: <br />1. If coverage for newly acquired or formed organizations is not otherwise excluded from this <br />Coverage Part. paragraph 4.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. At the first Named insured's option, your volunteer workers; and <br />b. Your medical directors and administrators, but only while acting within the scope of and during <br />the course of their duties as such. Such duties do not include the furnishing or failure to <br />furnish professional services of any physician or psychiatrist in the treatment of a patient. <br />c. At the first Named insured's option, any person or organization under your direct supervision <br />and control while providing for you private home respite or foster home care for the <br />developmentally disabled. However, the insurance afforded by b. above is excess over any <br />other insurance covering any person or organization under your direct control or supervision. <br />d. if you are an organization other than a partnership or joint venture, your managers and <br />supervisors are also )nsureds, but only with respect to their duties as your managers and <br />supervisors. <br />e. Any organization and subsidiary thereof which you control and actively manage on the <br />effective date of this Coverage Part. <br />However, the insurance afforded by e. above, for any organization and subsidiary thereof not <br />named in the Declarations as a Named Insured, does not apply to injury 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 />Page 2 of 5 <br />Includes copyright material of the Insurance Services Office, Inc. used Wih its permission. <br />