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*�!=' ADMIRCoverage Part Declarations Policy Number: FEI-ECC-28399-00 Renewal Of: Not Applicable Coverage Parts Attached indicated with "X"): Coverage Part Policy Type X I Commercial General Liability Occurrence Form X Contractors Pollution Liability Occurrence Form X Professional Liability Claims Made Form Limits of Insurance: Regardless of the number of Coverage Parts written under this policy or applicable to any one Occurrence, Claim, Wrongful Act or Pollution Condition, the Limits of Insurance shown below apply once for the entire oolicv. and not separately for each Coverane Pm Applicable to Commercial General Liability Coverage Parts Only: $1,000,000 Personal and Advertising Injury Limit $1,000,000 Damages Limit for Each Occurrence of Claim $2,000,000 General Aggregate Limit (Other than Products -Completed Operations) $2,000,000 Products -Completed Operations Aggregate Limit $50,000 Fire Damage Limit (Any one Fire) $5,000 Medical Expense Limit (Any One Person) Applicable to Contractors Pollution Liability Coverage Parts Only: $1,000,000 Damage Limit for Each Occurrence, Claim, or Pollution Condition Claims $1,000,000 Claims Expense Limit for Each Claim $2,000,000 General Aggregate Limit $2,000,000 Claims Expense Aggregate Limit to Professional Liability Coverage Parts Only: I Damages Limit for Each Occurrence, Wrongful Act, or Claim I Claims Expense Limit for Each Claim I General Aggregate Limit I Claims Expense Aaareaate Limit Deductible/SIR: Coverage Amount Type Commercial General Liability $2,500 Per Occurrence Deductible Contractors Pollution Liability $2,500 Per Pollution Condition Deductible Professional Liability $2,500 Per Wrongful Act Deductible Retroactive Dates: Coverage Retroactive Date Commercial General Liability Not Applicable Contractors Pollution Liability Not Applicable Professional Liability 3/22/2021 Premium Schedule: Estimated Annual Gross Receipts: $200,000 Rate: Flat Policy Period Minimum Earned Premium: $562 Minimum & Deposit $2 250 Premium: ECC-310-0712 IN As,.„,a wdeMvrgmmdDMslm 'E aMEWED&A"Ray®9Y: R. VaAwl �Risk Management Analyst