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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 5 of 8 <br />B. Subparagraph 1.d.under SUPPLEMENTARY <br />PAYMENTS - COVERAGES A AND B is deleted in <br />its entirety and replaced with the following: <br />d.All reasonable expenses incurred by the insured <br />at our request to assist us in the investigation or <br />defense of the claim or “suit”, including actual <br />loss of earnings up to $1,000 a day because of <br />time off from work. <br />SECTION II - WHO IS AN INSURED - Amendments <br />Not-for-Profit Organization Members <br />The following paragraph is added to SECTION II - WHO <br />IS AN INSURED: <br />If you are an organization other than a partnership, joint <br />venture, or a limited liability company, and you are a not- <br />for-profit organization, your officials, trustees, board <br />members, insurance managers, and “not-for-profit mem- <br />bers” are included as additional insureds, however only <br />with respect to their liability for your activities or activities <br />they perform on your behalf. <br />Employees As Insureds Modified <br />A.Subparagraph 2.a.(1)(a)under SECTION II - WHO <br />IS AN INSURED does not apply to “bodily injury” to <br />a “temporary worker” caused by a co-“employee” <br />who is not a “temporary worker”. <br />B.Subparagraph 2.a.(2) under SECTION II - WHO IS <br />AN INSURED does not apply to “property damage” <br />to the property of a “temporary worker” caused by a <br />co-“employee” who is not a “temporary worker”. <br />C.Subparagraph 2.a.(1)(d) under SECTION II - WHO <br />IS AN INSURED does not apply to “bodily injury” <br />caused by cardio-pulmonary resuscitation or first aid <br />services administered by a co-“employee”. <br />Newly Formed Or Acquired Organizations <br />A.Subparagraph 3.a. under SECTION II - WHO IS AN <br />INSURED is deleted in its entirety and replaced with <br />the following: <br />a.Coverage under this provision is afforded only <br />until the 180th day after you acquire or form the <br />organization or the end of the policy period, <br />whichever is earlier. However, COVERAGE A <br />does not apply to “bodily injury” or “property <br />damage” that occurred before you acquired or <br />formed the organization. <br />B.The following paragraph is added to SECTION II - <br />WHO IS AN INSURED, Paragraph 3: <br />If you are engaged in the business of construction of <br />dwellings three stories or less in height, or other <br />buildings three stories or less in height and less than <br />25,000 square feet in area, you will also be an <br />insured with respect to “your work” only, for the <br />period of time described above, for your liability <br />arising out of the conduct of any partnership or joint <br />venture of which you are or were a member, even if <br />that partnership or joint venture is not shown as a <br />Named Insured. However, this provision only applies <br />if you maintain or maintained an interest of at least <br />fifty percent in that partnership or joint venture for <br />the period of that partnership or joint venture. <br />This provision does not apply to any partnership or joint <br />venture that has been dissolved or otherwise ceased to <br />function for more than thirty-six months. <br />With respect to the insurance provided by this provision, <br />Newly Formed or Acquired Organizations, the follow- <br />ing is added to SECTION IV - COMMERCIAL GEN- <br />ERAL LIABILITY, Paragraph 4. Other Insurance, Sub- <br />paragraph b. Excess Insurance: <br />The insurance provided by this provision, Newly Formed <br />or Acquired Organizations, is excess over any other <br />insurance available to the insured, whether primary, <br />excess, contingent or on any other basis. <br />(All other provisions of this section remain unchanged). <br />Blanket Additional Insureds - As Required By <br />Contract <br />Subject to the Primary and Non-Contributory provision <br />set forth in this endorsement, SECTION II - WHO IS AN <br />INSURED is amended to include as an additional <br />insured any person or organization whom you have <br />agreed in a written contract, written agreement or written <br />permit that such person or organization be added as an <br />additional insured on your policy. Such person or organi- <br />zation is an additional insured only with respect to liabil- <br />ity for “bodily injury” or “property damage” or “personal <br />and advertising injury” caused, in whole or in part, by: <br />1. Your ongoing operations, “your product”, or premises <br />owned or used by you; however this provision does <br />not include any architects, engineers, or surveyors <br />with respect to any injury or damage arising out of <br />the rendering or failure to render any professional <br />services by or for you, including: <br />a. The preparing, approving, or failing to prepare or <br />approve, maps, shop drawings, opinions, <br />reports, surveys, field orders, change orders or <br />drawings and specifications; and <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