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DocuSign Envelope ID:A45C1 1 C6-3162-44FB-82E4-F3B430644D4E <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 Page: <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 /> LiabilityCoverage (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 /> 5. 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 />