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PI-CXL-002 (05/19) <br />POLICY NUMBER: PHUBB23705 <br />SCHEDULE OF UNDERLYING INSURANCE <br />Employers' Liability <br />Company: <br />Policy Number: <br />Policy Period: <br />Minimum Applicable Limits <br />Bodily injury by accident <br />$ <br />Each Accident <br />Bodily injury by disease <br />$ <br />Each Employee <br />Bodily injury by disease <br />$ <br />Policy Limit <br />Commercial General Liability <br />❑ Occurrence <br />E Claims -Made <br />Company: Philadelphia Indemnity <br />Insurance Company <br />Policy Number: PHPK2438009 <br />Policy Period: 07/15/2022 07/15/2023 <br />Retroactive Date: 09/04/2016 <br />Minimum Applicable Limits: <br />General Aggregate <br />$ <br />3,000,000 <br />Products -Completed Operations Aggregate <br />$ <br />3,000,000 <br />Personal And Advertising Injury <br />$ <br />1,000,000 <br />Each Occurrence <br />$ <br />1,000,000 <br />Commercial Auto Liability <br />Company: <br />Policy Number: <br />Policy Period: <br />Minimum Applicable Limits <br />Garage Aggregate Limit For Other Than Autos <br />(if applicable) <br />$ <br />Each Accident <br />$ <br />Professional Liability <br />❑ Occurrence <br />® Claims -Made <br />Company: Philadelphia Indemnity <br />Insurance <br />Company <br />Policy Number: PHPK2438009 <br />Policy Period: 07/15/2022 07/15/2023 <br />Retroactive Date: 09/04/2016 <br />Minimum Applicable Limits <br />Each Professional Incident <br />$ <br />1,000,000 <br />Acrarecate <br />$ <br />3,000,000 <br />PI-CXL-002 (05/19) <br />e.., RIi�Mv�gew<nt IXW r <br />HenecmLAPPROJH)Dr. '? <br />- %u %%reeJox <br />00 <br />Rak Ma tnmralNtle .1 <br />rki9e�ren <br />Page 3 of 5 <br />Includes copyrighted material of Insurance Services Office, Inc., with permission. <br />