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PI-GLD-HS (I Oil 1) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <br />GE NERAL LIABILITY DELUXE ENDORSEMENT: <br />HUMAN SERVICES <br />This endorsement modifies insurance provided under the followinT <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. It such specific coverage applies,'the terms, conditions and <br />limits of that coverage are the sale 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. Por complete details on specific coverages, consult the policy contract wording, <br />Coverage Applicable <br />G�mit of insurance <br />Page # <br />Extended Property Damage <br />lnclude_d <br />2 <br />Limited Rental Lease Agreement Contractual Liability <br />S50,000 limit <br />2 <br />Non -Owned Watercraft <br />Less than 58 feet <br />2 <br />Damage to Property You Own, Rent, or Occupy <br />$30,000 limit <br />2 <br />Damage: to Premises Rented to You <br />$1.000,000 <br />3 <br />HIPAA <br />Clarification <br />4 <br />Medical Payments <br />S20,000 <br />5 <br />Medical Payments — Extended Deporting Period <br />Athletic Activities <br />u�PPIerne�ntary Payments — Bail Bonds <br />3 years <br />Amended <br />35,000__ <br />5 <br />_5 <br />Supplementary Payment — Loss, of Earnings <br />$1,000 per. day <br />5 <br />Employee Indemnification C7efense Coverage <br />$25,000 <br />5 <br />Key and Lack Replacement — Janitorial Services Client Coverage <br />$10=0 limit <br />6 <br />Additional Insured — Newly Acquired Time Period <br />................ <br />Amended <br />6 <br />Additional Insured — Medical Directors and �Administrators <br />Included <br />—7 <br />Additional Insured— Managers and Supervisors (with Fellow <br />L Employee Coverage) <br />Included <br />—7 <br />Additional Insured — Broadened Named Insured <br />Included <br />7 <br />Additional Insured— Funding Source <br />Included <br />7 <br />Additional Insured — Home Care Providers <br />Additional Insured — Managers, Landlords, or Lessors of Premises <br />Included <br />Included <br />—7 <br />7 <br />Additional Insured — Lessor of Leased Equipment <br />Included <br />7 <br />Acickttor_jaj �Insured �_Gr@n`torof per .. -its <br />Included <br />8 <br />.Additional Insured — Vendor <br />j Additional Insured — Franchisor <br />Additional Insured — When Required by Contract. <br />Additional Insured — Owners, Lessees, or Contractors <br />Additional insured — State or Political Subdivisions <br />Included <br />lncludFd--g <br />Included <br />Included <br />Included <br />—8 <br />9 <br />10' <br />Page I of 12 <br />10 14 Includes copyrighted material of Insurance Services Office, Inc., with its permjjS,9i.(0j, e <br />Q 2011 Philadelphia Indemnity Insurance Company <br />