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43 Hanover <br />Tnsurance Group° <br />Policy# OD4941575901 <br />BUSINESSOWNERS LIABILITY SPECIAL BROADENING ENDORSEMENT <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under the following <br />BUSINESSOWNERS COVERAGE FORM <br />SUMMARY OF COVERAGES <br />1. Additional Insured by Contract, Agreement or Permit <br />2. Additional Insured— Broad Form Vendors <br />3. Alienated Premises <br />4. Bodily Injury Redefined <br />5. Broad Form Property Damage — Borrowed Equipment, Customers <br />Goods and Use of Elevators <br />6. Incidental Malpractice (Employed Nurses, EMT's and Paramedics) <br />7. Personal and Advertising Injury— Broad Form <br />8. Product Recall Expense <br />9, Unintentional Failure to Disclose Hazards <br />10. Unintentional Failure to Notify <br />I1111ITFi1mc <br />$25,000 Occurrence <br />$50,000 Aggregate <br />Page <br />This endorsement amends coverages provided under the Businessowners Coverage Form through new <br />coverages and broader coverage grants. This coverage is subject to the provisions applicable to the <br />Businessowners Coverage Form, except as provided below. <br />1. Additional Insured by Contract, Agreement or This insurance applies on a primary basis if <br />Permit that Is required by the written contract, <br />Under SECTION II — LIABILITY, C. Who Is An agreement or permit. <br />Insured, Paragraph 4. is added as follows: b. This provision does not apply: <br />a. Any person or organization for whom you are <br />performing operations when you and such <br />person or organization have agreed in writing <br />in a contract, agreement or permit that such <br />person or organization be added as an <br />additional insured on your policy. Such person <br />or organization is an additional insured only <br />with respect to liability for "bodily injury", <br />"property damage" or "personal and <br />advertising injury" caused, in whole or in part, <br />by: <br />(1) Your acts or omissions; or <br />(2) The acts or omissions of those acting on <br />your behalf, <br />(1) Unless the written contract or written <br />agreement has been executed or permit <br />has been issued prior to the "bodily injury", <br />"property damage" or "personal and <br />advertising injury; <br />(2) To any person or organization included as <br />an insured by an endorsement issued by <br />us and made part of this Policy; <br />(3) To any person or organization included as <br />an insured under Item 1.a.2. of this <br />endorsement; <br />(4) To any lessor of equipment: <br />(a) Afterthe equipment lease expires; or <br />but only with respect to: (b) If the "bodily injury', "property <br />3 "Your work" for the additional insureds at damage" or "personal and advertising <br />() () injury" arises out of the sole <br />the location designated in the contract, negligence of the lessor; <br />agreement or permit; or <br />(5) To any: <br />(4) Premises you own, rent, lease, control or <br />occupy. (a) Owners or other interests from whom <br />land has been leased which takes <br />391-1006 06 09 Includes copyrighted material of Insurance Services Office, Inc. age 1 of 5/� <br />