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Policy Number: PHPK2293752 PI-GLD-HS (10/11) 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 fallowing 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 on 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 ance Page #Extended Property Damage 2Limited Rental Lease Agreement Contractual Liability it 5Less Ethan 2feet 2DamagetoProperty YouOwn, Rent, or Occupy it 2$,000,000 3 HIPAA Clarification Medical Payments $20 5,000 5 Medical Payments —Extended Reporting Period 3 years 5 Athletic Activities Amended 5 Supplementary Payments — Bail Bonds $5,000 5 Supplementary Payment — Loss of Earnings $1,000 per day 5 Employee Indemnification Defense Coverage $25,000 5 Key and Lock Replacement —Janitonal.Services Client Coverage $10,000limit 5 Additional Insured — Newly Acquired Time Period Amended g Additional Insured — Medical Directors and Administrators Included 7 Additional Insured — Managers and Supervisors (with Fellow Employee Coverage) Included 7 Additionallnsured — Broadened Named Insured Included 7 Additional Insured —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 Additional Insured —Grantor of Permits Included 8 Additional Insured —Vendor Included 8 Additionallnsured—Franchisor Included g Additional Insured — When Required by Contract Included 9 Additional Insured — Owners, Lessees, or Contractors Included g Additional Insured — State or Political Subdivisions Included 10 Page 1 of 12 Includes copyrighted material of Insurance Services Office, Inc„ with its pe ea,my, R&kfanq duivw n © 2011 Philadelphia Indemnity Insurance Company REMEWED & APPROVED By. Ruk Management:Analyst