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ZOA9436702042901835 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under the fo|lowing� <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br />SUMMARY OF COVERAGES <br />t Additional Insured byContract, Agreement orPermit <br />Included <br />2. Additional Insured —Sponsors <br />Included <br />3, Additional Insured — Subcontractor — Aerobic Instructors, Massage, <br />Therapists, and Personal Trainers <br />Included <br />4. Newly Acquired orFormed Orgun�zuUonu Covered until end cf <br />policy period <br />Included <br />5. Aggregate Limit per Location <br />Included <br />6. AWenahadPremiees <br />Included <br />7. Bodily Injury Redefined <br />Included <br />8. Broad Form PropertyDamage- Borrowed Equipment <br />Included <br />$. Incidental Malpractice (Employed oumea. EMT^m Q paramedics) <br />Included <br />10. Knowledge ofOccurrence <br />Included <br />11. Medical Payments Increased Limit <br />$ 10^000 <br />12. Non'mwnedNateronaft <br />51 feet <br />13. Personal Injury Broad Form <br />Included <br />14. Property Damage Legal Liability (Fire, Lightning, Explosion, <br />$580.0010 <br />Smoke orLeakage Damage) <br />16. Supplementary Payments Increased Limits <br />' Bail Bonds <br />$ 2.508 <br />-LooaofEarningo <br />$ 308 <br />16. Unintentional Failure to Disclose Hazards <br />Included <br />17. Unintentional Failure to Notify <br />Included <br />18. Liberalization Clause <br />Included <br />This endorsement amends coverages provided under the Commercial General Liability <br />Coverage Form through <br />new coverages, higher limits and broader coverage grants. <br />1. ADDITIONAL INSURED BY CONTRACT, <br />AGREEMENT ORPERMIT <br />The following is added to SECTION U —VVHO IS <br />ANINSURED, Paragraph 2.: <br />Each cfthe following iualso mninsured: <br />Any person or organization, with whom you <br />agnoad, in writing in m c:ntraot, agreement or <br />permit to provide inauranoe, that such person or <br />organization be added asamadditional insured on <br />your policy. Such person or organization is an <br />additional Insured only with respect to: <br />o. "Your work" for the additional insured(s) <br />designated inthe contract, agreement ur <br />permit; <br />lb� Premises you own. rent. lease or000mpy� or <br />o. Your roeinhananue, operation or use of <br />equipment 8eosedLoyou. <br />This insurance applies on a primary basis if <br />that iarequired bythe written contract, written <br />agreement orpermb , <br />� v*�` <br />w� <br />tee <br />42113831010 Includes copyrighted materiai ofInsurance Services Office, Inc, 2004 <br />