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ZDA 9436702 04 2901935 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br />SUMMARY OF COVERAGES <br />1. <br />Additional Insured by Contract, Agreement or Permit <br />Included <br />2. <br />Additional Insured — Sponsors <br />Included <br />3. <br />Additional Insured — Subcontractor — Aerobic Instructors, Massage <br />Therapists, and Personal Trainers <br />Included <br />4. <br />Newly Acquired or Formed Organizations - Covered until end of <br />policy period <br />Included <br />5. <br />Aggregate Limit per Location <br />Included <br />6. <br />Alienated Premises <br />Included <br />7. <br />Bodily Injury Redefined <br />Included <br />8. <br />Broad Form Property Damage - Borrowed Equipment <br />Included <br />9. <br />Incidental Malpractice (Employed nurses, EMT's & paramedics) <br />Included <br />10. <br />Knowledge of Occurrence <br />Included <br />11. <br />Medical Payments - Increased Limit <br />$ <br />10,000 <br />12. <br />Non -owned Watercraft <br />51 feet <br />13. <br />Personal Injury - Broad Form <br />Included <br />14. <br />Property Damage Legal Liability (Fire, Lightning, Explosion, <br />$500,000 <br />Smoke or Leakage Damage) <br />16. <br />Supplementary Payments Increased Limits <br />- Bail Bonds <br />$ <br />2.500 <br />- Loss of Earnings <br />$ <br />300 <br />16. <br />Unintentional Failure to Disclose Hazards <br />Included <br />17. <br />Unintentional Failure to Notify <br />Included <br />18. <br />Liberalization Clause <br />Included <br />This endorsement amends coverages provided under the Commercial General Liability <br />Coverage Form <br />through <br />new coverages, higher limits and broader coverage grants. <br />1. ADDITIONAL INSURED BY CONTRACT, <br />AGREEMENT OR PERMIT <br />The following is added to SECTION It — WHO IS <br />AN INSURED, Paragraph 2.: <br />Each of the following is also an insured: <br />Any person or organization with whom you <br />agreed, in writing In a contract, agreement or <br />permit to provide insurance, that such person or <br />organization be added as an additional insured on <br />your policy. Such person or organization is an <br />additional insured only with respect to: <br />a. "Your work" for the additional insured(s) <br />designated in the contract, agreement or <br />permit, <br />b. Premises you own, rent, lease or occupy; or <br />c. Your maintenance, operation or use of <br />equipment leased to you. <br />This insurance applies on a primary basis if <br />that is required by the written contract, written <br />agreement or permit. <br />ram. <br />Page 1 of 5 <br />421-1383 10 10 Includes copyrighted material of Insurance Services Office, Inc. 2004 <br />