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DocuSign Envelope ID:95ED4E50-2135-4421-9D73-64AF3CA1B6D8 <br /> Policy: 680009A16819519 <br /> COMMERCIAL GENERAL LIABILITY <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> XTEND ENDORSEMENT FOR COMMERCIAL INDUSTRIES <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> GENERAL DESCRIPTION OF COVERAGE —This endorsement broadens coverage. However, coverage for any <br /> Injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or <br /> limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to <br /> the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- <br /> age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- <br /> dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. <br /> A. Broadened Named Insured J. Bodily Injury To Co-Employees And Cc-Volunteer <br /> B. Blanket Additional Insured—Broad Form Vendors Workers <br /> C. Damage To Premises Rented To You K. Aircraft Chartered With Crew <br /> • Perils of fire, explosion, lightning, smoke, L. Non-Owned Watercraft— Increased From 25 Feet <br /> water To 50 Feet <br /> • Limit increased to$300,000 M. Increased Supplementary Payments <br /> D. Blanket Waiver Of Subrogation 0 Cost of bail bonds increased to $2,500 <br /> E. Blanket Additional Insured — Owners, Managers 0 Loss of earnings increased to$500 per day <br /> Or Lessors Of Premises N. Medical Payments- Increased Limit <br /> F. Blanket Additional Insured — Lessors Of Leased O. Knowledge And Notice Of Occurrence Or Offense <br /> Equipment <br /> G. Incidental Medical Malpractice P. Unintentional Omission <br /> H. PersonalInjury—AssumedByContract Q. Reasonable Force — Bodily Injury Or Property <br /> I. Amended Bodily Injury Definition Damage <br /> PROVISIONS B. BLANKET ADDITIONAL INSURED — BROAD <br /> A. BROADENED NAMED INSURED FORM VENDORS <br /> 1. The following is added to SECTION II —WHO The following is added to SECTION II —WHO IS <br /> IS AN INSURED: AN INSURED: <br /> Any organization, other than a partnership or Any person or organization that is a vendor and <br /> joint venture, over which you maintain owner- that you have agreed in a written contract or <br /> ship or majority interest on the effective date agreement to include as an additional insured on <br /> of the policy qualifies as a Named Insured. this Coverage Part is an insured, but only with re- <br /> However, coverage for any such organization spect to liability for "bodily injury" or "property <br /> will cease as of the date during the policy pe- damage"that: <br /> riod that you no longer maintain ownership of, a. Is caused by an "occurrence"that takes place <br /> or majority interest in, such organization. <br /> after you have signed and executed that con- <br /> 2. The following replaces Paragraph 4.a. of tract or agreement; and <br /> SECTION II —WHO IS AN INSURED: <br /> b. Arises out of "your products" which are dis- <br /> a. Coverage under this provision is afforded tributed or sold in the regular course of such <br /> only until the 180th day after you acquire vendor's business. <br /> or form the organization or the end of the <br /> policy period, whichever is earlier, unless The insurance provided to such vendor is subject <br /> reported in writing to us within 180 days. to the following provisions: <br /> CG D4 58 07 13 ©2013 The Travelers Indemnity Company.All rights reserved. Page 1 of 7 <br /> Includes copyrighted material of Insurance Services Office, Inc.with its permission. <br />