# Missouri Changes – Medical Payments

This endorsement modifies insurance provided under the following:

**Commercial General Liability Coverage Part**

**Paragraph 1.a. of Coverage C – Medical Payments is replaced by the following:**

### Insuring Agreement

- **a. We will pay medical expenses as described below for "bodily injury" caused by an accident:**
  - (1) On premises you own or rent;
  - (2) On ways next to premises you own or rent; or
  - (3) Because of your operations; provided that:
    - (a) The accident takes place in the "coverage territory" and during the policy period;

- **(b) The expenses are incurred and reported to us within one year of the date of the accident. However, expenses reported to us after one year of the date of the accident will not be denied solely because of the late submission unless such late submission operates to prejudice our rights; and**

- **(c) The injured person submits to examination, at our expense, by physicians of our choice as often as we reasonably require.**

**Endorsement Number:** 139  
**Policy Number:** HDO G72490587  
**Commercial General Liability CG 26 50 04 13**

**THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.**

© Insurance Services Office, Inc., 2012  
Page 1 of 1