Laserfiche WebLink
* S9 * 06/11/2021 * GLP 3961460 00 GREAT AMERICAN ASSURANCE COMPANY <br />*D/B* 072977484 262428 <br />CG 91 69 (Ed. 02/20) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />MEDICAL PAYMENTS AT YOUR REQUEST ENDORSEMENT <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br />The following is added to SECTION I — COVERAGES - COVERAGE C - MEDICAL PAYMENTS: <br />If medical payments are covered and not otherwise excluded under the policy, medical payments will be paid only if you <br />request that we pay such expenses. <br />All other terms and conditions of the policy remain unchanged. <br />© Insurance Services Office, Inc., 2019 <br />CG 91 69 (Ed. 02/20) <br />�oRaN <br />} z <br />RiskMmWmentDMsfan <br />REVIEWED & APPROVED BY.- <br />f R. V;d <br />Risk Management Analyst <br />