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Copyright, 2011 Selective Insurance Company of America. All rights reserved. CG 72 02 12 11 <br />Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 8 <br />ELITEPAC <br />General Liability Extension <br />COMMERCIAL GENERAL LIABILITY <br />CG 72 02 12 11 <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 />Primary and Non-Contributory Provision - Additional Insureds Page 7 <br />Blanket Additional Insureds - As Required By Contract Page 5 <br />Broad Form Vendors Coverage Page 6 <br />Not-for-profit Members - Including Club Members <br /> Not-for-profit Members - as additional insureds Page 5 <br /> Not-for-profit Members Medical Payments Page 4 <br /> Not-for-profit Members - defined Page 8 <br />Damage To Premises Rented To You ($500,000) (Including Fire, Lightning or Explosion) Page 3 <br />Electronic Data Liability ($100,000) Page 4 <br />Golf Amendments <br /> Golfing Facilities - defined Page 8 <br /> Golf and Tennis Pros - as additional insureds Page 6 <br /> Limited Property Damage - caused by golf balls Page 3 <br /> Members Medical Payments Page 4 <br /> Products Amendment - Medical Payments - limited on premises coverage Page 4 <br /> Recreational Medical Payments - limited amateur golf coverage Page 4 <br /> Waiver of Rights of Recovery - members and guests Page 7 <br />Incidental Malpractice <br /> Exclusion modified Page 6 <br />Knowledge of Occurrence, Claim, Suit or Loss Page 7 <br />Liberalization Clause Page 7 <br />Medical Payments - increased limit ($15,000) Page 6 <br />Mental Anguish Amendment (Not applicable to New York) Page 8 <br />Newly Formed or Acquired Organizations Page 5 <br />Non-Owned Aircraft Page 3 <br />INSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPYINSURED'S COPY <br />Docusign Envelope ID: 186E0FF8-664C-4A5C-9F97-28196CE69FD1