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Policy Number: PS00040761674 <br /> Primary and Nan-Contributory policy language - Page 6 PI-GLD-TS(11/15) <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> GENERAL LIABILITY DELUXE ENDORSEMENT: <br /> TEMPORARY STAFFING <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> It is understood and agreed that the following extensions only apply in the event that no other specific <br /> coverage for the indicated loss exposure Is provided under this policy. IF such specific coverage applies, <br /> the terms, conditions and limits of that coverage are the sole and exclusive coverage applicable under <br /> this policy, unless otherwise noted on this endorsement. The following is a summary of the Limits of <br /> Insurance and additional coverage provided by this endorsement. For complete details on specific <br /> coverages,consult the policy contract wording. <br /> Coverage Applicable Limit of Insurance Page <br /> Damage to Premises Rented to You - - - �$1,000,000 2 <br /> Expected or Intended Injury—Property Damage Included 2 <br /> Limited Rental Lease Agreement Contractual Liability $50,000 �T 2 <br /> Non-Owned Watercraft ; Less than 58 feet _ 3 <br /> Damage to Property You Own,Rent or Occupy I $30,000 3 1 <br /> Medical Payments $20,000 3 <br /> Medical Payments Reporting Period 3 Years 3 <br /> Athletic Activities �_— Amended 3 <br /> Supplementary Payments—Bail Bonds $2,500 4 <br /> _ ......._... <br /> .. T <br /> Supplementary Payments—Loss of Earnings $500 per day 4 <br /> Employee Indemnification Defense Coverage $25,000 4 <br /> ?V11ho Is An Insured �.� �.�-...w..u.�._�.....�A......_- - ---^Included <br /> Additional Insured—Newly Acquired or Formed Organization <br /> Additional Insured—Broadened Named Insured <br /> Additional Insured—Blanket Additional Insureds When required by <br /> Contract i <br /> Duties in the Event of Occurrence, Offense,Claim or Suit Included <br /> Transfer of Rights of Recovery Against Others To Us Clarification 5 <br /> Liberalization Included 5 <br /> Unintentional Failure to Disclose Hazards s Included 5 <br /> Bodily Injury—Includes Mental Anguish Included 5 <br /> 3 <br /> Personal and Advertising injury—Includes Abuse of Process, Included 6 <br /> Discrimination _ ---_------- ! _r <br /> plher Insurance—Primary Clarifcatian _ ��`�® -Clarification I <br /> PI-GLD-TS(11/15) <br /> Page 1 of 8 <br /> Includes copyrighted material of Insurance Services Office, Inc.,with its permission. <br />