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Policy Number: PHPK2293752 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 spoolflc coverage for the Indicated loss exposure is provided under this policy. If Such specific coverage applies, the terms, condl0ons and limits of that coverage are the sole and exctusive 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 oontractwording. Coverage Applicable Limit of Insurance page # Extended Properly Damage Included $50,000 Iimlt Less than 58 fast 2 2 2 Limited Kemal lease Agreement Contractual Liability Non -Owned Watercraft Damage to Property You Own, Rent, or Occupy $30,000 limit 2 Damage to Premisas Rented to You $1,000,000 3 HIPAA wMedical Clarification 4 Payments $20 000 5 Medical Payments— Extended Reporting Period 3 years 5 Athletic Actvitles Amended 5 Supplementary Payments --Ball Bonds $5 000 5 Supplementary Payment - Loss of Earnings $1,000 per day 5 Employee Indemnfficatki Defense Coverage $25,000 5 Key and Lock Replacement - Janitor!; Servlces Cllent Coverage $10,000 limit 8 Addltlonallnsured-Newly Acquire-nmmePeriod Amended - 8 Additional Insured -Medical E i Aore and Administrators Included Addltlonal Insured - Managers and Supervisors (with 1 ellow Included 7 Em to ee Covera e 7 Addltlonallnsured - Broadened Named Insured Included 7 Additional Insured - FundingSourco 'Insured- Included 7 Addltlonal Home Care Providers Included 7 Additional Insured - Managers, Landlords, or Lessors of Premises Included 7 Addltlonal Insured - Lessor of Leased Equipment Included 7 Additionallnsured-GrantorofPermits Included 8 Addltlonallnsured -Vendor Included 8 Addltionalinsured- Franchisor Included g Additional insured - When Required by Contract Included g Addltlonal insured - Owners, Lessees, or Contractors ' Included g Addltlonallnsured - State or PoliticalSuhdlvisions Included 10 Page 1 of 12 Includes copyrighted material of Insurance Services Office, Inc„ with its pa aft �o b 2011 Philadelphia Indemnity Insurance Company Famm o&APPsovtnay; i Ruk K)rWgcment Anxly*xt