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Policy Number: <br />Renewal/Rewrite of: <br />Nautilus Insurance Companyll <br />An Arizona Stock Corporation <br />COMMERCIAL EXCESS LIABILITY DECLARATIONS <br />AN1253544 <br />Named Insured and Mailing Address <br />Superior Hot Tapping Services Inc <br />7923 Old Oak Court <br />Riverside, CA 92506 <br />Producer's Name and Mailing Address <br />HULL & COMPANY, LLC <br />3247 W. March Lane <br />Suite 110 <br />Stockton, CA 95219 <br />POLICY PERIOD: From 01/14/2022 to 08/20/2022 At 12:01 A.M. Standard Time at your mailing address shown above <br />IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, <br />WE AGREE TO PROVIDE YOU WITH THE INSURANCE AS STATED IN THIS POLICY. <br />THE NAMED INSURED IS: I Individual <br />1 Trust <br />Item I: Limits of Insurance: <br />Each Occurrence Limit $ <br />Aggregate Limit $ <br />Item II: Premium: <br />Deposit Premium $ <br />Terrorism Premium $ <br />=.1 Partnership X Corporation <br />-1 Limited Liability Company <br />2,000,000 <br />2,000,000 <br />1,705.00 <br />0.00 <br />Total Premium $ 1,705.00 <br />Broker Fee $ 175.00 <br />I Joint Venture .I Other <br />Item III: Minimum Retained Premium: <br />If the insured cancels this policy, we will retain no less than $250 or 25% of the Total Premium, whichever <br />is greater. <br />Item IV: Forms attached at inception: <br />See Schedule of Forms EU 00 05 <br />DNE 21 10 01 19 <br />)Ik� <br />Au IN \ RiskMwwgwwtDtvigun <br />"` GREmEwEo&pArrR veo Br. <br />i r MN.Gime ram. V:F.(.vi4c� <br />Risk Management Analyst <br />