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Includes copyrighted material of Insurance <br />GA 227 06 23 Services Office, Inc.,with its permission.Page 1 of 16 <br />THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. <br />COMMERCIAL GENERAL LIABILITY EXTENDED <br />ENDORSEMENT <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />A.Endorsement -Table of Contents: <br />Coverage:Begins on Page: <br />1.Employee Benefit Liability Coverage.......................................................................................2 <br />2.Unintentional Failure To Disclose Hazards .............................................................................9 <br />3.Damage To Premises Rented To You ......................................................................................9 <br />4.Supplementary Payments ......................................................................................................11 <br />5.180 Day Coverage For Newly Formed Or Acquired Organizations ...................................11 <br />6.Waiver Of Subrogation ...........................................................................................................11 <br />7.Automatic Additional Insured -Specified Relationships:..................................................11 <br />(a)Managers Or Lessors Of Premises <br />(b)Lessor Of Leased Equipment <br />(c)Vendors <br />(d)State Or Governmental Agency Or Subdivision Or Political Subdivision - <br />Permits Or Authorizations Relating To Premises <br />(e)Mortgagee,Assignee Or Receiver <br />8.Property Damage To Borrowed Equipment .........................................................................14 <br />9.Employees As Insureds -Specified Health Care Services And Good Samaritan <br />Services ...................................................................................................................................15 <br />10.Broadened Notice Of Occurrence .........................................................................................15 <br />11.Nonowned Aircraft..................................................................................................................15 <br />12.Bodily Injury Redefined ..........................................................................................................15 <br />13.Expected Or Intended Injury Redefined ...............................................................................16 <br />14.Former Employees As Insureds ............................................................................................16 <br />B.Limits Of Insurance: <br />The Commercial General Liability Limits of Insurance apply to the insurance provided by this endorse- <br />ment, except as provided below: <br />1.Employee Benefit Liability Coverage <br />Each Employee Limit:$1,000,000 <br />Aggregate Limit:$3,000,000 <br />Deductible Amount:$1,000 <br />3.Damage To Premises Rented To You <br />The lesser of: <br />a.The Each Occurrence Limit shown in the Declarations; or <br />b.$500,000 unless otherwise stated $ <br />4.Supplementary Payments <br />a.Bail Bonds:$2,500 <br />b.Loss Of Earnings:$500 <br />8.Property Damage To Borrowed Equipment <br />Each Occurrence Limit:$10,000 <br />Deductible Amount:$250 <br />Docusign Envelope ID: 177AA06A-30B4-42FF-A85A-78B5A7C51DBE