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Policy Number: PSE0005052 RLI Insurance Company <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <br /> RLIPack@ SCHEDULE OF UNDERLYING INSURANCE <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL EXCESS LIABILITY COVERAGE FORM <br /> Item 4. of the declarations is amended to include: <br /> Type of Coverage Carrier Eff. Date Exp. Date Limits <br /> General Liability Occurrence$ 2,000,000 <br /> RLI insurance 09/01/2025 09/01/2026 Aggregate $4,000,000 <br /> Company <br /> Only the Type of <br /> Coverage identified in <br /> this Schedule of <br /> Underlying Insurance <br /> by Carrier, policy <br /> number and applicable <br /> Limits are to be <br /> included. <br /> Employers' Liability Each Accident: Statutory Limits o $$1,000,000 <br /> RLI Insurance 09/01/2025 09/01/2026 whichever is greater <br /> Company Disease Each Employee: Statutory Limits or <br /> Only the Type of $1,000,000 ,whichever is greater <br /> Coverage identified in Disease Policy Limit: Statutory Limits or <br /> this Schedule of $1,000,000 ,whichever is greater <br /> Underlying Insurance <br /> by Carrier, policy <br /> number and applicable <br /> Limits are to be <br /> included. <br /> Business Auto Liability <br /> RLI Insurance 09/01/2025 09/0112026 Each Accident$1,000,000 <br /> Company <br /> Only the Type of <br /> Coverage identified in <br /> this Schedule of <br /> Underlying Insurance <br /> by Carrier, policy <br /> number and applicable <br /> Limits are to be <br /> included. <br /> ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. <br /> PPU 110 04 23 Page 1 of 1 <br />