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PI-GLD-HS (10111) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, GENERAL LIABILITY DELUXE ENDORSEMENT; HUMAN SERVICES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE It is understood and agreed that the following extensions only apply in the event that no other specific coverage for the indicated loss exposure Is provided under this policy. If such specific coverage applies, the terms, conditions and limits of that coverage are the sole and exclusive coverage applicable under this policy, unless otherwise noted an this endorsement. The following is a summary of the Limits of Insurance and additional coverages provided by this endorsement. For complete details on specific coverages, consult the policy contract wording. Coverage Applicable Limit of Insurance Pageff Extended Property Damage Included 2 Limited Rental Lease Agreement Contractual Liability $50,0001imit 2 Non -Owned WatercrafiLess than 56 feet 2 Damage to Property You Own, Rent, or Occupy $30,000 limit 2 Damage to Premises Rented to You $1.000,000 3 HIPAA Clarification 4 Medical Payments $20,000 5 Medical Payments- Extended Reporting Period 3 years 5 Athletic Activities Amended 5 Supplementary Payments - Ball Bonds §5,000 5 Supplementary Payment - Loss of Earnings $1,000 per. day 5 Employee Indemnification Defense Coverage§25000 5 Key and Lock Replacement -Janitorial Services Client Coverage $10, 000 limit 6 Additional Insured- Newly Acquired Time Period Amended 6 AdditionalInsured-Medical Directors and Adminishators Included 7 Addltional Insured -Managers and Supervisors (with Fellow Em to ee Covera e Included 7 Additional insured - Broadened Named Insured Included 7 Additionallnsured-Funding Source Included 7 Additional Insured- Home Care Providers Included 7 Additional Insured - Managers, Landlords, or Lessors of Premises Included 7 Additional Insured- Lessor of Leased Equipment Included 7 Adtlitlonal Insured -Grantor of Permits Included g Additional Insured -Vendor Included g Additienal Insured -Franchisor Included 9 Additional Insured-- When Required by Gontract. Included g Additional Insured - Owners, Lessees, or Contractors Additional Insured- State or Political Subdivisions Included Included �,p,I , � � Page 1 of 12 Includes copyrighted material of Insurance Services Office, Inc., with its permissio �,0�a © 2011 Philadelphia Indemnity Insurance Company S`; o G\ e14 , P .................. ...... .