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POLICY NUMBER: CUP-OJ605520-21-47 <br />UMBRELLA <br />ISSUE DATE: 01/29/2021 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />SCHEDULE OF UNDERLYING INSURANCE <br />This endorsement modifies insurance provided under the following: <br />EXCESS FOLLOW -FORM AND UMBRELLA LIABILITY INSURANCE <br />Employee Benefits Liability <br />Carrier TRAVELERS PROPERTY CASUALTY <br />COMPANY OF AMERICA <br />Policy Number 680-004H777478-21 <br />Policy Period <br />From: 03/14/2021 <br />to: 03/14/2022 <br />Commercial General Liability <br />Carrier TRAVELERS PROPERTY CASUALTY <br />COMPANY OF AMERICA <br />Policy Number 680-004H777478-21 <br />Policy Period <br />From: 03/14/2021 <br />to: 03/14/2022 <br />Automobile Liability <br />Carrier TRAVELERS PROPERTY CASUALTY <br />COMPANY OF AMERICA <br />Policy Number BA-004R690875-21 <br />Policy Period <br />From: 03/14/2021 <br />to: 03/14/2022 <br />Limits Of Liability <br />Each Employee $1,000,000 <br />Aggregate $1,000,000 <br />Limits Of Liability <br />General Aggregate $2,000,000 <br />Products -Completed $2,000,000 <br />Operations Aggregate <br />Personal and <br />Advertising Injury $1,000,000 <br />Each Occurrence $1,000,000 <br />Limits Of Liability <br />Bodily Injury And Property $1,000,000 <br />Damage Combined Single <br />Limit <br />PRODUCER:HALL & COMPANY OFFICE: SPECIALIST A&E 21 <br />EU 00 03 08 18 © 2018 The Travelers Indemnity Company. All rights reserved. <br />�oRaN <br />r <br />Risk MwagementDMsian <br />REVIEWED & APPROVED SY.- <br />p L" R. VSA44a <br />Risk Management Analyst <br />