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DocuSign Envelope ID: CCB5CCD8-1AB9-4C00-B1 F6-A07CF92FB7AD <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> CONTRACTORS' COMMERCIAL GENERAL LIABILITY <br /> BROADENED ENDORSEMENT <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> A. Endorsement-Table of Contents: <br /> Coverage: Begins on Pape: <br /> 1. Employee Benefit Liability Coverage..................................................................................................2 <br /> 2. Unintentional Failure to Disclose Hazards............................................................ .............................7 <br /> 3. Damage to Premises Rented to You...................................................................................................8 <br /> 4. Supplementary Payments...................................................................................................................9 <br /> 5. Medical Payments. ........., ............... ... ...... ......... .........................................................9 <br /> 6. Voluntary Property Damage(Coverage a.)and Care, Custody or Control <br /> Liability Coverage (Coverage b.).........................................................................................................9 <br /> 7. 180 Day Coverage for Newly Formed or Acquired Organizations ..................................................10 <br /> 8. Waiver of Subrogation .......................................................................................................................10 <br /> 9. Automatic Additional Insured -Specified Relationships: ................................................................ 10 <br /> • Managers or Lessors of Premises; <br /> • Lessor of Leased Equipment; <br /> • Vendors; <br /> • State or Political Subdivisions -Permits Relating to Premises; <br /> • State or Political Subdivisions -Permits;and <br /> • Contractors'Operations <br /> 10. Broadened Contractual Liability -Work Within 50'of Railroad Property.........................................14 <br /> 11. Property Damage to Borrowed Equipment....................................................................................... 14 <br /> 12. Employees as Insureds-Specified Health Care Services: ............................................................ 14 <br /> • Nurses; <br /> • Emergency Medical Technicians;and <br /> • Paramedics <br /> 13. Broadened Notice of Occurrence...................................................................................................... 14 <br /> B. Limits of Insurance: <br /> The Commercial General Liability Limits of Insurance apply to the insurance provided by this endorse- <br /> ment,except as provided below: <br /> 1. Employee Benefit Liability Coverage <br /> Each Employee Limit: $ 1,000,000 <br /> Aggregate Limit: $ 3,000,000 <br /> Deductible: $ 1,000 <br /> 3. Damage to Premises Rented to You <br /> The lesser of: <br /> a. The Each Occurrence Limit shown in the Declarations;or <br /> b. $500,000 unless otherwise stated$ <br /> 4. Supplementary Payments <br /> a. Bail bonds: $ 1,000 <br /> b. Loss of earnings: $ 350 <br /> S. Medical Payments <br /> Medical Expense Limit: $ 10,000 <br /> Includes copyrighted material of Insurance <br /> GA 233 02 07 Services Office, Inc.,with its permission. Page 1 of 15 <br />