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Includes copyrighted material of Insurance <br />GA 210 09 20 Services Office, Inc., with its permission.Page 1 of 14 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />COMMERCIAL GENERAL LIABILITY BROADENED <br />ENDORSEMENT <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />A.Endorsement -Table of Contents: <br />Coverage:Begins on Page: <br />1.Employee Benefit Liability Coverage.......................................................................................2 <br />2.Unintentional Failure To Disclose Hazards .............................................................................8 <br />3.Damage To Premises Rented To You ......................................................................................8 <br />4.Supplementary Payments .........................................................................................................9 <br />5.Medical Payments ......................................................................................................................9 <br />6.180 Day Coverage For Newly Formed Or Acquired Organizations ......................................9 <br />7.Waiver Of Subrogation ...........................................................................................................10 <br />8.Automatic Additional Insured -Specified Relationships:..................................................10 <br />(a)Managers Or Lessors Of Premises <br />(b)Lessor Of Leased Equipment <br />(c)Vendors <br />(d)State Or Governmental Agency Or Subdivision Or Political Subdivision - <br />Permits Or Authorizations Relating To Premises <br />(e)Mortgagee, Assignee Or Receiver <br />9.Property Damage To Borrowed Equipment .........................................................................13 <br />10.Employees As Insureds -Specified Health Care Services And Good Samaritan <br />Services ...................................................................................................................................14 <br />11.Broadened Notice Of Occurrence .........................................................................................14 <br />12.Nonowned Aircraft ..................................................................................................................14 <br />13.Bodily Injury Redefined ..........................................................................................................14 <br />14.Expected Or Intended Injury Redefined ...............................................................................14 <br />15.Former Employees As Insureds ............................................................................................14 <br />B.Limits Of Insurance: <br />The Commercial General Liability Limits of Insurance apply to the insurance provided by this endorse- <br />ment, except as provided below: <br />1.Employee Benefit Liability Coverage <br />Each Employee Limit: $1,000,000 <br />Aggregate Limit: $3,000,000 <br />Deductible Amount:$1,000 <br />3.Damage To Premises Rented To You <br />The lesser of: <br />a.The Each Occurrence Limit shown in the Declarations; or <br />b.$500,000 unless otherwise stated $ <br />4.Supplementary Payments <br />a.Bail Bonds:$2,500 <br />b.Loss Of Earnings: $500 <br />5.Medical Payments <br />Medical Expense Limit:$10,000 <br />9.Property Damage To Borrowed Equipment <br />Policy # EPP 0595172Docusign Envelope ID: B63767C6-D0E5-432E-8D24-65B6372E87EC