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A� SCOTTSD.ALE INSURANCE COMPANYO <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SUPPLEMENTAL DECLARATIONS <br /> Policy No. CPS8284857 Effective Date 09/12/2025 <br /> MATCH POINT TENNIS ACADEMY, 12:01 A.M., Standard Time <br /> Named Insured LLC Agent No. 04027 <br /> Item 1. Limits of Insurance <br /> Coverage Limit of Liability <br /> Aggregate Limits of Liability Products/Completed <br /> $ 2,000,000 Operations Aggregate <br /> General Aggregate (other than <br /> $ 2,000,000 Products/Completed Operations) <br /> Coverage A—Bodily Injury and any one occurrence subject <br /> Property Damage Liability to the Products/Completed <br /> Operations and General <br /> $ 1,000,000 Aggregate Limits of Liability <br /> any one premises subject to the <br /> Coverage A occurrence and <br /> the General Aggregate Limits <br /> Damage to Premises Rented to You Limit $ 100,000 of Liability <br /> Coverage B—Personal and any one person or organization <br /> Advertising Injury Liability subject to the General Aggregate <br /> $ 1, 000,000 Limits of Liability <br /> Coverage C—Medical Payments any one person subject to the <br /> Coverage A occurrence and <br /> the General Aggregate Limits <br /> $ 5, 000 <br /> Item 2. Description of Business <br /> Form of Business: <br /> ❑ Individual ❑ Partnership ❑ Joint Venture ❑ Trust ❑ Limited Liability Company <br /> ❑ Organization including a corporation (other than Partnership, Joint Venture or Limited Liability Company) <br /> Location of All Premises You Own, Rent or Occupy: <br /> SEE SCHEDULE OF LOCATIONS <br /> Item 3. Forms and Endorsements <br /> Form(s) and Endorsement(s) made a part of this policy at time of issue: <br /> See Schedule of Forms and Endorsements <br /> Item 4. Premiums <br /> Coverage Part Premium: $ $3,233 <br /> Other Premium: $ <br /> Total Premium: $ $3,233 <br /> THESE DECLARATIONS ARE PART OF THE POLICY DECLARATIONS CONTAINING THE NAME OF THE INSURED <br /> AND THE POLICY PERIOD. <br /> CLS-SD-1L(8-01) <br />