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DocuSign Envelope ID: 313DA256 -1 EDE- 4396- A716- 4C53B809027E <br />ElitePac® <br />General Liability Extension Endorsement <br />COMMERCIAL GENERAL LIABILITY <br />CG 73 00 01 16 <br />SUMMARY OF COVERAGES (including index) <br />This is a summary of the various additional coverages and coverage modifications provided by this endorsement. No <br />coverage is provided by this summary. Refer to the actual endorsement (Pages 3- through -8) for changes affecting your <br />insurance protection. <br />DESCRIPTION PAGE FOUND <br />Additional Insureds - Primary and Non - Contributory Provision <br />Page 7 <br />Blanket Additional Insureds - As Required By Contract <br />Page 6 <br />Broad Form Vendors Coverage <br />Page 6 <br />Damage To Premises Rented To You (Including Fire, Lightning or Explosion) <br />Page 3 <br />Electronic [Data Liability ($100,000) <br />Page 4 <br />Employee Definition Amended <br />page g <br />Employees As Insureds Modified <br />Page 5 <br />Employer's Liability Exclusion Amended (Not applicable in New York) <br />Page 3 <br />Incidental Malpractice Exclusion modified <br />Page 7 <br />Knowledge of Occurrence, Claim, Suit or Loss <br />Page 7 <br />Liberalization Clause <br />Page 7 <br />Mental Anguish Amendment (Not applicable to New York) <br />page 8 <br />Newly Formed or Acquired Organizations <br />Page 5 <br />Non - Accumulation Of Limits (Not applicable in New York or Wisconsin) <br />Page 7 <br />Non -Owned Aircraft <br />Page 3 <br />Non -Owned Watercraft (under 60 feet) <br />Page 3 <br />Not- for - profit Members - as additional insureds <br />page 5 <br />Personal And Advertising Injury - Discrimination Amendment (Not applicable in New York) <br />Page 8 <br />Products Amendment (Medical Payments) <br />Page 4 <br />Supplementary Payments Amended - Bail Bonds ($5,000) and Loss of Earnings ($1,000) <br />Page 4 <br />Unintentional Failure to Disclose Hazards <br />Page 7 <br />Waiver of Transfer of Rights of Recovery (subrogation) <br />Page 7 <br />When Two or More Coverage Parts of this Policy Apply to a Loss <br />Page 3 <br />Copyright, 2015 Selective Insurance Company of America. All rights reserved. CG 73 00 01 16 <br />Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 8 <br />INSURED'S COPY <br />