Policy, i',,4urnbcr� 6 t0.-66'4 2(y24 TCT- 17 COMMERAL.GEf,1EF`V1 [JAWLWY'
<br />11-H,'3 ENDORSEIMENT CHANGES lriiE POLICY. PLEASE REAL) ll' CAREFLILLY,
<br />XTEND ENDORSEMENT FOR COMMERCIAL INDUSTRIES
<br />This endaysernent mc(Kes insurance� provided UncLer the falls irate
<br />CWAMEM.,IAL GENEIAL LlABUJIY COVERAGE FIARJ
<br />GENERAL DESCRIPTION 01i`,C(`)'VE1F�AGE -- 1'his endorserrient bmadefis ccivHrage. Hovrqew.,r, coverage for ,iny
<br />injufy, darnagce ar med�icai experises described in any of 1he providons a', fifls endo&sarnent !nay tre excju�jp_d os-
<br />HmItod by another endarsernent to this Covemige PaH, and these coverage broadening provisions do not appto
<br />the exlent that coverage is excluded or flmiled by such an endompment. The foilowing listirig is a general cover-
<br />age desi:,rifttion only Urnitaflons mid exclusions may apply to these coverages. Read all the provisiwrri of this err-
<br />dorsarrierit and the rest c,rf your poky carefully to deternmne nghts, duties, airKJ whall is and is nol covered
<br />A, Sroadfmed Narned Insured JBodily Injury To Co Ern pIoyiDes And CoValuntear,
<br />B, 8 lw)kiet Add ificinaf insu red -Broad Form Verido rs Workers
<br />C. AirrraH (,havtered With Crew
<br />• Perris of fire, explosion, lightning, smoke,
<br />wMer
<br />• Unlit increased to $300 000
<br />D. Blanket WaiveOf Subrogation
<br />E, Blanket Additional Insured - Owners, Managers
<br />Or Lessurs Of Premises
<br />F, Blanket Addifional Insured - Lessors Of Leased
<br />Equipment
<br />G. incidental Medk.ai Malpracke
<br />K Person,,fl I rijury -- Assurned By Contract
<br />1n Arnanded Bodily Inimy Defiriftri
<br />PRWSIONS
<br />A, BROADENED NAMED lNSURED
<br />1w "I"he following is acided to SECTiON 1I - -, W1 10
<br />13 AN INSURED -
<br />Any orgarilzalion odier Man a padner-ship or
<br />joint venture, over which you irmiritarn owner
<br />shIp or rimjority interest on the effective data
<br />of the policy qualifies as a Named insured,
<br />However, coverage for any such organizabon
<br />will cease as of the date during the p0cy pew
<br />-
<br />Hod thzit you no longer rnaintain owner0dp i)f,
<br />or majority 4,iteresll In, such organizaflon,
<br />2, The fullowing rej..)laces Flaragmph &ra . of
<br />SECTION H 010 IS AN INSURED:
<br />a. Coverage tinder this provision is afforded
<br />only until the 1 80th day after you acquire
<br />or form the organi7aflon or the end of the
<br />pciflcy period, whichever is surlier, unh,,,ss
<br />reported in writing to us w0iin 180 days,
<br />L, Non -Owned Wakererzift - Increased Frorri 25 Foot
<br />To 50 1"eat
<br />fil, Increased Supplementary PayrnemU
<br />Cost of l,,)a4 bonds Increased W $2,500
<br />Loss of earnings Increased to S500 per day
<br />NMedica[ Payments - IFmraased Unrill
<br />0, Knowledge And Notice Of Occurrence Or Offense
<br />P� Lhiinlentional Ornission
<br />0, Reasonable 'ome - &Ddily Injupl Or Proparty
<br />Damage
<br />B. BLANKET ADDliTIONAL DISURED ..- BROAD
<br />FORM VE14DORS
<br />The following is added to SECTION H- WHO IS
<br />AN INSURED:
<br />Aq persms or that Is a vendor and
<br />that YOU have iagreed in as written contract m,
<br />agreerrient to Iriclude, sis an addk)nal 41SUred on
<br />Oils Coven@gp PaN is an insured, but only with re-
<br />spetq to llab4ity fcii "bodily Injury" or "property
<br />darnage" that:
<br />a, k caused by arr 'occumence.' lhat takeai place
<br />after you have c,,lgried and executed that cori-
<br />b act or agreernent; and
<br />L Ahsevi m,it of "your products` whid) are das-
<br />tributed or so'd In the regtilar course, of such
<br />vendor's busiriess.
<br />The hisurance provided to such vendor is SUbjecl
<br />to the foHowing provislons:
<br />C G D4 5 8 07 '13 g) 2013Thelravefers oft'rafty Coinpany. AH Ogivs ieserved. P,-Ige I of 7
<br />InChbdCS Wpyr;ghted mafaf'a-fl of hiioarice seffces Office Inic Y"Ith Us per'nKslan.
<br />REVIEVi EC1 R3 ': EUNICE HEREDIA (PG _' 61`.
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