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DocuSign Envelope ID:07A4359F-6D47-4987-B1F1-BF667ACBB3BA <br /> B. Subparagraph 1.d. under SUPPLEMENTARY a. Coverage under this provision is afforded only <br /> PAYMENTS — COVERAGES A AND B is deleted until the 180th day after you acquire or form the <br /> in its entirety and replaced with the following: organization or the end of the policy period, <br /> d. All reasonable expenses incurred by the insured whichever is earlier. However, COVERAGE A <br /> at our request to assist us in the investigation or does not apply to "bodily injury" or "property <br /> defense of the claim or "suit", including actual damage" that occurred before you acquired or <br /> loss of earnings up to $1,000 a day because of formed the organization. <br /> time off from work. B. The following paragraph is added to SECTION <br /> SECTION II—WHO IS AN INSURED—Amendments II—WHO IS AN INSURED, Paragraph 3: <br /> Not-for-Profit Organization Members If you are engaged in the business of <br /> The following paragraph is added to SECTION II — construction of dwellings three stories or less in <br /> WHO IS AN INSURED: height, or other buildings three stories or less in <br /> height and less than 25,000 square feet in area, <br /> If you are an organization other than a partnership, joint you will also be an insured with respect to "your <br /> venture, or a limited liability company, and you are a work" only, for the period of time described <br /> not-for-profit organization, the following are included as above, for your liability arising out of the <br /> additional insureds: conduct of any partnership or joint venture of <br /> 1. Your officials; which you are or were a member, even if that <br /> 2. Your trustees; partnership or joint venture is not shown as a <br /> N Named Insured. However, this provision only <br /> co 3. Your members; applies if you maintain or maintained an interest <br /> LO 4. Your board members; of at least fifty percent in that partnership or <br /> 5. Your commission members; joint venture for the period of that partnership or <br /> N joint venture. <br /> 6. Your agency members; This provision does not apply to an partnershipor joint <br /> 0 7. Your insurance managers; venture that has been dissolved or otherwise ceased to <br /> 8. Your elective or appointed officers; and function for more than thirty-six months. <br /> 9. Your"not-for-profit members". With respect to the insurance provided by this provision, <br /> However only with respect to their liability for your Newly Formed or Acquired Organizations, the <br /> activities or activities they perform on your behalf. following is added to SECTION IV — COMMERCIAL <br /> Employees As Insureds Modified GENERAL LIABILITY, Paragraph 4. Other Insurance, <br /> A. Subparagraph 2.a.(1)(a) under SECTION II —WHO Subparagraph b. Excess Insurance: <br /> IS AN INSURED does not apply to "bodily injury" to The insurance provided by this provision, Newly <br /> a "temporary worker" caused by a co-"employee" Formed or Acquired Organizations, is excess over <br /> who is not a "temporary worker". any other insurance available to the insured, whether <br /> B. Subparagraph 2.a.(2) under SECTION II — WHO IS primary, excess, contingent or on any other basis. <br /> AN INSURED does not apply to "property damage" (All other provisions of this section remain unchanged) <br /> to the property of a "temporary worker" or"volunteer Blanket Additional Insureds — As Required By <br /> worker" caused by a co-"employee" who is not a Contract <br /> "temporary worker" or"volunteer worker". A. Subject to the Primary and Non-Contributory <br /> C. Subparagraph 2.a.(1)(d) under SECTION II —WHO provision set forth in this endorsement, SECTION II <br /> IS AN INSURED does not apply to "bodily injury" — WHO IS AN INSURED is amended to include as <br /> caused by cardio-pulmonary resuscitation or first aid an additional insured: <br /> services administered by a co-"employee". 1. Owners, Lessees or Contractors/Architects, <br /> With respect to this provision only, Subparagraph (1) of Engineers and Surveyors <br /> Exclusion 2. e. Employer's Liability under SECTION <br /> — COVERAGES, COVERAGE A BODILY INJURY a. Any person or organization for whom you <br /> AND PROPERTY DAMAGE LIABILITY does not apply. are performing operations when you and <br /> such person or organization have agreed in <br /> Newly Formed Or Acquired Organizations a written contract, written agreement or <br /> A. Subparagraph 3.a. under SECTION II — WHO IS written permit that such person or <br /> AN INSURED is deleted in its entirety and replaced organization be added as an additional <br /> with the following: insured on your commercial general liability <br /> policy; and <br /> Copyright, 2021 Selective Insurance Company of America. All rights reserved. CG 73 00 06 22 <br /> Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 5 of 10 <br /> INSURED'S COPY <br />