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*81 *01/2312026* PAC 4,893906 03 00 Great American Insurance Company <br /> *D/B* 771513666 227067 <br /> i <br /> CG 89 70 (Ed. 11114) I <br /> I <br /> I <br /> THIS ENDORSEMENT CHANGES THE POLICY. PL.BASE 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 extenslon only applies In the event that no other speclfin 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 Fndorsernent. 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 /> i <br /> wording. <br /> Coverage Description Limit of Insurance Page <br /> E <br /> Non-awned Aircraft Included � 2 <br /> Nan-Owned Watercraft Included 2 i <br /> i <br /> Bodily Injury - Mental Injury, Mental Anguish, Humiliation or Shook Included 3 <br /> Medical Payments $ 20,000 3 <br /> ~Dannaga to Premises Dented to You $ 1,000,000 3 <br /> Supplementary Payments - Bali Bonds $ 3,000 4 <br /> stippiementary Payments - Loss of Earnings $ 1,000 per day 4 <br /> 1 <br /> i <br /> Newly Formed or Acquired Organizations Included 4 <br /> i <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 0 <br /> Amendment of Pollution Exclusion (Premises) Included 6 <br /> Limited Properly Damage to Property of Others $ 5,000 6 <br /> I <br /> Additional Insured - Manager or Lessor of Premises Included 7 <br /> l <br /> I <br /> CG 89 70 (Ed. 11114) (Page 1 of 12) <br />