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UMBRELLA <br /> POLICY NUMBER: CUP-OJ605520-25-47 ISSUE DATE: 03/06/2025 <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 /> Automobile Liability Limits Of Liability <br /> Carrier THE TRAVELERS INDEMNITY Bodily Injury And Property $1,000,000 <br /> COMPANY OF CONNECTICUT Damage Combined Single <br /> Limit <br /> Policy Number BA-004R690875-25 <br /> Policy Period <br /> From: 03/14/2025 <br /> to: 03/14/2026 <br /> Employers Liability Limits Of Liability <br /> Carrier TRAVELERS PROPERTY CASUALTY Bodily Injury By Accident $110001000* <br /> COMPANY OF AMERICA Each Accident <br /> Policy NumberUB-001T826877-25 Bodily Injury By Disease $1,000,000* <br /> Policy Period Policy Limit <br /> From: 03/14/2025 Bodily Injury By Disease $1,000,000* <br /> to: 03/14/2026 Each Employee <br /> *UNLIMITED IN THE STATE OF NEW YORK FOR <br /> SUBJECT EMPLOYEES <br /> Employee Benefits Liability Limits Of Liability <br /> Carrier TRAVELERS PROPERTY CASUALTY Each Employee $1,000,000 <br /> COMPANY OF AMERICA <br /> Aggregate $1,000,000 <br /> Policy Number 680-004H777478-25 <br /> Policy Period <br /> From: 03/14/2025 <br /> to: 03/14/2026 <br /> PRODUCER:AP DESIGN PROF INS OFFICE:SPECIALIST A&E 21X <br /> EU 00 03 08 18 ©2018 The Travelers Indemnity Company.All rights reserved. Page 1 of 2 <br />