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PI- GLD -HS (04/07) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />GENERAL LIABILITY DELUXE ENDORSEMENT: <br />HUMAN SERVICES <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE <br />It is understood and agreed that the following extensions only apply in the event that no other specific coverage for <br />the indicated loss exposure is provided under this policy. If such specific coverage applies, the terms, conditions and <br />limits of that coverage are the sole and exclusive coverage applicable under this policy, unless otherwise noted on <br />this endorsement. The following is a summary of the Limits of Insurance and additional coverages provided by this <br />endorsement. For complete details on specific coverages, consult the policy contract wording. <br />Coverage Applicable <br />Limit of Insurance <br />Page # <br />Damage to Premises Rented to You <br />$1,000,000 <br />2 <br />Extended Property Damage <br />included <br />2 <br />Non -Owned Watercraft <br />Less than 58 feet <br />2 <br />Medical Payments <br />$20,000 <br />2 <br />Medical Payments — Extended Reporting Period <br />3 years <br />3 <br />Athletic Activities <br />Amended <br />3 <br />Supplementary Payments — Bail Bonds <br />$2,500 <br />3 <br />Supplementary Payment — Loss of Earnings <br />$500 per day <br />3 <br />Employee Indemnification Defense Coverage for Employee <br />$25,000 <br />3 <br />Additional Insured - Medical Directors and Administrators <br />Included <br />3 <br />Additional Insured — Managers and Supervisors <br />Included <br />3 <br />Additional Insured — Broadened Named Insured <br />Included <br />3 <br />Additional Insured — Funding Source <br />Included <br />4 <br />Additional Insured — Home Care Providers <br />Included <br />4 <br />Additional Insured — Managers, Landlords, or Lessors of Premises <br />Included <br />4 <br />Additional Insured - Lessor of Leased Equipment — Automatic Status <br />When Required in Lease Agreement With You <br />Included <br />4 <br />Additional Insured — Grantor of Permits <br />Included <br />4 <br />Limited Rental Lease Agreement Contractual Liability <br />$50,000 limit <br />5 <br />Damage to Property You Own, Rent, or Occupy <br />$30,000 limit <br />5 <br />Transfer of Rights of Recovery Against Others To Us <br />Clarification <br />5 <br />Duties in the Event of Occurrence, Claim or Suit <br />Included <br />5 <br />Unintentional Failure to Disclose Hazards <br />Included <br />5 <br />Liberalization <br />Included <br />6 <br />Bodily Injury — includes Mental Anguish <br />Included <br />6 <br />Personal and Advertising Injury — includes Abuse of Process, <br />Discrimination <br />Included <br />6 <br />Key and Lock Replacement — Janitorial Services Client Coverage <br />$5,000 limit <br />k ' <br />�4 _ S�ORGo Bey <br />tt <br />Page 1 of 7 <br />Includes copyrighted material of Insurance Services Office, c., wit t�t�, mission. '1 <br />