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COMMERCIAL GENERAL LIABILITY <br />CL CG 04 92 09 16 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />CL CG 04 92 09 16 Includes copyrighted material of Insurance Services Office, Inc., <br />with its permission <br />Page 1of 7 <br /> <br />GENERAL LIABILITY ULTRA PLUS ENDORSEMENT <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SUMMARY OF COVERAGE EXTENSIONS <br />Provision Name Of Coverage Extension Included or Limit of <br />Insurance <br />A.Miscellaneous Additional Insureds Included <br />B.Expected Or Intended Injury Or Damage Included <br />C.Knowledge Of Occurrence Included <br />D.Legal Liability – Damage To Premises Rented To You (Fire, Lightning, <br />Explosion, Smoke, Or Leakage From Automatic Fire Protective Systems) <br />$300,000 <br />E.Medical Payments $10,000 <br />F.Mobile Equipment Redefined Included <br />G.Newly Formed Or Acquired Organization, Partnership Or Limited Liability <br />Company And Extended Period Of Coverage <br />Included <br />H.Who Is An Insured – Amendment Included <br />I.Non-Owned Watercraft (Increased to maximum length of less than 51 <br />feet) <br />Included <br />J.Supplementary Payments – Increased Limits <br />1. Bail Bonds $ 3,000 <br />2.Loss Of Earnings $ 1,000 <br />K.Unintentional Omission Or Unintentional Error In Disclosure Included <br />L.Waiver Of Transfer Of Rights Of Recovery Against Others Included <br />M.Liberalization Clause Included <br />N.Incidental Medical Malpractice Included <br />The above is a summary only. Please consult the specific provisions that follow for complete information on the <br />extensions provided. <br />The provisions of the Commercial General Liability <br />Coverage Part apply except as otherwise provided in <br />this endorsement. This endorsement applies only if <br />such Coverage Part is included in this policy. <br />A. MISCELLANEOUS ADDITIONAL INSUREDS <br />1. Section II – Who Is An Insured is amended <br />to include as an insured any person or <br />organization (referred to as an additional <br />insured below) described in Paragraphs <br />A.1.c.(1) through A.1.c.(8) below when you <br />and such person or organization have agreed <br />in writing in a contract or agreement that <br />such person or organization be added as an <br />additional insured on your policy, provided <br />that: <br />a. The written contract or written agreement <br />is: <br />(1) Currently in effect or becoming <br />effective during the term of this <br />policy; and <br />(2) Fully executed by you and the <br />additional insured prior to the "bodily <br />injury", "property damage" or "per- <br />sonal and advertising injury". <br />DocuSign Envelope ID: C96E815A-2DFE-4846-8BDE-E3315B5EF516