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PI-GLD-HS (04/07) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />GENERAL LIABILITY DELUXE ENDORSEMENT: <br />HUMAN SERVICES <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE <br />It is understood and agreed that the following extensions only apply in the event that no other specific coverage for <br />the indicated loss exposure is provided under this policy. If such specific coverage applies, the terms, conditions and <br />limits of that coverage are the sole and exclusive coverage applicable under this policy, unless otherwise noted on <br />this endorsement. The following is a summary of the Limits of Insurance and additional coverages provided by this <br />endorsement. For complete details on specific coverages, consult the policy contract wording. <br />Coverage Applicable Limit of Insurance Page # <br />Damage to Premises Rented to You $1,000,000 2 <br />Extended Property Damage included 2 <br />Non-Owned Watercraft Less than 58 feet 2 <br />Medical Payments $20,000 2 <br />Medical Payments - Extended Reporting Period 3 years 3 <br />Athletic Activities Amended 3 <br />Supplementary Payments - Bail Bonds $2,500 3 <br />Supplementary Payment - Loss of Earnings $500 per day 3 <br />Employee Indemnification Defense Coverage for Employee $25,000 3 <br />Additional Insured - Medical Directors and Administrators Included 3 <br />Additional Insured - Managers and Supervisors Included 3 <br />Additional Insured - Broadened Named Insured Included 3 <br />Additional Insured - Funding Source Included 4 <br />Additional Insured - Home Care Providers Included 4 <br />Additional Insured - Managers, Landlords, or Lessors of Premises Included 4 <br />Additional Insured - Lessor of Leased Equipment-Automatic Status <br />When Required in Lease Agreement With You Included 4 <br />Additional Insured - Grantor of Permits Included 4 <br />Llmited Rental Lease Agreement Contractual Liability $50,000 limit 5 <br />Damage to Property You Own, Rent, or Occupy $30,000 limit 5 <br />Transfer of Rights of Recovery Against Others To Us Clarification 5 <br />Duties In the Event of Occurrence, Claim or Suit Included 5 <br />Unintentional Failure to Disclose Hazards Included 5 <br />Liberalization Included 6 <br />Bodlly Injury - includes Mental Anguish Included 6 <br />Personal and Advertising Injury - includes Abuse of Process, <br />Discrimination Included 6 <br />Key and Lock Replacement - Janitorial Services Client Coverage $5,000 limit 6- <br />0 TO <br />0-4 <br />Page 1 of 7 g'( Pt?oCney <br />Includes copyrighted material of Insurance Services Office, Inc., with it i?ty <br />Psg`S?a?t <br />c?